Programs – sosvamotherngo.org

PROGRAMME

PROJECT PROFILES

Projects for Empowerment of Poor Women through Skill Development, Reproductive and Child Health (RCH) and Awareness against Drug Addiction are being implemented through field NGOs. Besides, two projects relating to prevention/ treatment ofOBJECTIVE

The main objective of the programme is to supplement the efforts of Health Department to improve the health status of the poorer sections and in particular:

To improve the health status of pregnant women and lactating mothers and reduce maternal mortality.
To improve the health status of children up to 6 years of age and reduce infant and child mortality.
To improve health of adolescent girls and sensitize them on health issues.
To improve health of general public by creating awareness regarding nutrition, personal hygiene & sanitation, harmful effects of intoxicants.
To promote use of Ayurveda and Yogic exercises for improvement in general health status..
To improve health care of aged by creating awareness about major diseases and promoting annual medical check for their timely detection and awareness about facilities under National Programme for care of elderly.

ROLE OF THE NGO

The main role of NGOs in the programme will be:

Creating awareness about various issues regarding health of pregnant women, adolescent girls, young children, lactating mothers and elderly from poorer sections of society through group discussion & visits to households.
Persuading and where necessary helping poor people in project area to take benefit of Government schemes
Persuading the intended beneficiaries to attend the outreach camps being organized by the Health Deptt. and persons above 30 years to get their annual medical check-up done in CHCs and Hospitals where these check ups are done free.
Organizing camps for promoting use of Ayurvedic treatment and home based remedies.
Holding classes for yoga exercises.

III. BASELINE SURVEY

3.1 NGOs should also prepare a list of maternal deaths which occurred in their project area (deaths which occurred due to complications during pregnancy and child birth)

3.2 NGOs should carry out the Baseline Survey of the area covered by the project by visit to each household in the area and record the information in the register to be supplied by SOSVA. The objective of the survey is to ascertain the position at the beginning of the project in regard to various activities which are to be undertaken so that achievement at the end of the project period can be compared with position in the beginning of the project. It would also provide necessary information about the population under the project area required for implementation of the project.

3.3 At the end of the survey the Baseline Analysis Report may be sent to SOSVA in the prescribed format. The survey should be completed and the Baseline Analysis Report submitted within 2 months of the commencement of the project. At the same time relevant information from baseline Survey Register should be entered in the Service Register provided by SOSVA for implementation of the project.

3.4 Where the Baseline Survey indicates that there is no anganwadi in some parts of project area or the number of anganwadis is inadequate to allow registration of all children willing to be registered, the matter may be intimated to SOSVA at the earliest without waiting for completion of the survey so that the Department of Social Security Women and Child Development is requested to open more anganwadis in the area. Normally, one anganwadi is required to serve about 1000 population.

3.5 Further, if it is found that nutrition is not being provided to children, pregnant women and lactating mothers for more than 3 months in any Anganwadi, the matter may be taken up with project officer of ICDP without waiting for completion of the survey. If the position remains the same, details may be sent to SOSVA so that it may be taken up with the Department of Social Security Women and Child Development

I V. ACTIVITIES UNDER THE PROGRAMME

4.1. Group Meetings:- Coordinator and Health Workers should hold separate meetings with pregnant women, lactating mothers and mothers of young children (up to 6 years age), adolescent girls not going to school and persons above 30 years age (separately for women and men, if necessary). In each group meeting there should be 10 to 15 participants (average 12). No. of group meetings to be held are indicated in the sanctioned budget. Refreshment may be provided to participants at an average expenditure of not more than Rs.10/ per participant. In these meetings, awareness may be imparted through interactive discussions on the relevant topics (Relevant IEC pamphlets may also be distributed in these meetings).

In addition to the specific issues to be discussed in the meeting of various targeted groups, it is suggested that the participants may be persuaded to go in for vaccination against Corona virus, if not already done, without any further delay in their own interest and in the interest of the community. In some sections there has been some hesitancy which is to be overcome by explaining the benefits of vaccination which acts as a shield against COVID.

Meetings with Pregnant Women

(i) Importance of having before delivery minimum 3 ANCs done and taking one IFA tablet daily for 180 days and one calcium tablet daily after 4 months of pregnancy.

(ii) Signs of high risk pregnancies, care for such pregnancies, management of minor problems during pregnancy

(iii) Importance of having medical check-up done from the doctor under Pradhan Mantri Surakshit Matritav Abhiyan (PMSMA).

(v) Benefits available under JSY and PMMVY and procedure for availing of the same.

(vi) The health worker should educate the women in the reproductive age who have 3 or more children about the need for limiting the family size and spacing of children and merits and demerits of various methods.

(vii) Where the percentage of deliveries by cesarean operation is more than 20% of total deliveries, the health worker should educate the pregnant women about the risks of cesarean operation and the need to go in for operation only where required on medical grounds.

Meetings with Lactating Mothers and Mothers of Children up to 6 Years
Need for giving Vitamin-A to children 1½ to 5 years age every 6 months.
Need for giving dose of deworming medicine after every 6 months

iii. The schedule of vaccination required to be given to children up to 3 years age. HW should ascertain whether the children have been given all the vaccinations due for their age and if not persuade the mother of the child to take the child to Anganwadi during next visit of ANM for vaccination.

Prevention and management of diarrhea and pneumonia during childhood.
Facility for free treatment of all children up to 1 year age and girl child up to 5 years age in govt. hospitals.
Meetings with Adolescent Girls Not Going to School
Menstrual hygiene, use of sanitary napkins.
RTI/STI symptoms, prevention and facilities for treatment.

iii. Need for proper nutrition.

Meetings with Persons Above 30 Years Age
Major diseases like TB, heart attack, stroke, diabetes, breast/ cervical/ lung cancer – prevention, symptoms and facilities for treatment.
Facilities of cashless free treatment available under Pradhan Mantri Arogya Yojna. Hospitals in which cashless treatment is available in their area and types of treatment for which this facility is available.

iii. Facilities for check up and treatment, available in upgraded PHCs and Health & Wellness Centres.

Importance of availing facilities of free annual medical check-up in CHCs/ Urban PHCs and district hospitals for early detection of any disease.

4.2 In a project in which whole or part of the area is not covered by anganwadis.

a) If the population of that locality is attached with another anganwadi for purpose of Poshan, the workers under the project should help in implementation of the scheme by persuading intended beneficiaries to attend meetings under the scheme.
b) If the inhabitants of that locality are not attached to another anganwadi for purpose of the Abhiyan. NGO head should meet the project officer of ICDP to request him to attach the area to some anganwadi. In case it is not done at that level he should inform SOSVA so that the matter maybe taken with Department of Social Security Women and Child Development. Until then, 1. In addition to the items mentioned under Sub- Para (a) of Para-4.2, the awareness in respect of following matters should also be conveyed during meetings with pregnant women.
Nutrition during pregnancy, availing of supplementary nutrition from anganwadis
Importance of having proper Hb level and calcium during pregnancy, foods containing iron and calcium, need for taking IFA and calcium tablets regularly for 6 months after 1^st trimester of pregnancy. How to deal with minor problems that may arise with their use. Need for taking deworming tablet (Albendazole) between 4^th and 6^th month of pregnancy.

iii. Janani Suraksha Yojana (JSY) – procedure for obtaining its benefits.

Pradhan Mantri Matritav Vandana Yojana, benefits available under the scheme and procedure for availing of the benefit
Importance of giving first milk after child birth to the child and exclusive breast feeding for six months: its benefits for the mother and child. How to deal with problems that may arise.
During meetings with lactating Mothers and Mothers of Children up to 6 years, in addition to the items mentioned in Sub-Para (b) of Para-4.1, awareness in respect of following
Need for proper nutrition, availing of benefit of supplementary nutrition for lactating mothers and children from Anganwadi.
Importance of having proper Hb level and calcium during lactation period, foods containing iron and calcium , need for taking IFA tablets and calcium tablets regularly for 6 months after delivery . How to deal with the minor problem that may arise with their use.

iii. Advantages of exclusive breast feeding for 6 months and how to deal with problems that may arise.

Supplementary food to child after six months.
Problem of anemia among children, diets containing adequate iron for the child, need for supplementing it by giving IFA syrup/tablets regularly. Availing of free distribution of IFA and calcium tablets to lactating mothers and IFA tablets to children by ASHA/ANM. Need for giving de-worming medicine after every 6 months after delivery.

Household Visits.

5.1 Coordinators and health Workers should visit at least 1700(600 by each Health Worker and 500 by Coordinator) households in the project per month. During the visits they should:-

Check whether, pregnant women are getting due ANCs done and taking IFA tablets after 3 months and calcium tablets after 4 months of pregnancy regularly.
Prepare list of pregnancies which have been declared high risk during an ANC and track them on monthly basis to ensure that they get regular ANCs done, take IFA tablets regularly and have their delivery in a hospital.
Prepare a list of children below 1 year who were kept in sick neonatal care units and ensure that they are given exclusive breast feeding for 6 months and proper medical treatments for any ailments.
Interact with beneficiaries including persons above 30 years age who cannot attend the group meetings and convey necessary information about various health issues and Govt. Schemes..
Persuade drug addicts, TB patients and HIV/ AIDS patients to go to specialist centres and continue treatment till cured.
Find Out

Whether lactating mothers and children from 6 months to 5 years are getting IFA Tablets regularly.
Whether lactating mothers are getting calcium tablets regularly till six months after delivery.
Whether pregnant women have got check-up done from the doctor under PM Surakshit Matritva Yojana.
Place where the delivery was done.
Whether delivery was by normal or by caesarean operations.
Whether pregnant women, lactating mothers and children up to 6 years age living in area served by Anganwadi are getting nutrition from Anganwadi regularly.
Whether pregnant women eligible for JSY who got delivery in government hospital have received the benefit of the scheme.
Whether women and lactating mothers who are eligible for benefit of PM Matritva Vandana Yojana have received the benefit.

9 . Whether children below 3 years age had got all the vaccinations due for the age.

Whether children between1 years up to five years got vitamin-A dose after six month.
Whether children below 6 years had got deworming medicine after every 6 months. 12. Whether the mother had received the PNC which was due.
Whether children up to 6 months are being given exclusive breast feeding.
Whether the persons in the household above 30 years of age had got annual medical check-up
Whether the persons who have received training in Yoga exercises are practising the same

5.2 The information should be recorded in the relevant statement in the Service Register for action and submitting quarterly/ half yearly/annual reports. Where it is found that the pregnant women, lactating mothers, children below 6 years, adolescent girls and persons above 30 years are not taking advantage of schemes relating to health, they should be persuaded and if necessary helped to take advantage of these schemes. In particular, pregnant women should be persuaded to have minimum 3 ANCs, take IFA tablet daily for 180 days before delivery and 6 months after delivery, calcium tablet daily after 4 months pregnancy and for 6 months after delivery. Special care should be given for pregnant women who are declared high risk during ANC and children less than 1 year old who were admitted in sick neonatal units.

6 Follow up on Group Meetings and household visits.

6.1 If during the meeting, house hold visit or otherwise it is found that the pregnant women, lactating mothers and children up to 6 years age are not getting nutrition from the anganwandi for more than a month or eligible women are not getting benefits of PMMVY the HW should take up the matter with the anganwadi and, if necessary, with the Supervisor. If it is due to non-availability of supplies in the anganwadi the Coordinator should inform the NGO Head who should take up the matter with the Project Officer in the district and if the problem is still not resolved, he should immediately convey the information to SOSVA so that the matter may be taken up with the Department of Social Security Women and Child Development.

6.2. Similarly if IFA tablets are not being distributed to pregnant women, lactating mothers and children below 6 years age or out of school adolescent girls or calcium tablets are not given to pregnant women with more than 4 months pregnancy or lactating mothers, or Vitamin-A tablets are not being given to children between 1½ years and 5 years age and deworming tablets are not being given to children below 6 years, or benefit of JSY is not being given to eligible women within one month of completion of relevant papers, the HW should take up the matter with ANM and thereafter if necessary convey to the NGO head who should take up the matter with concerned SMO or Civil Surgeon’s office. If the problem is not resolved at that level, SOSVA should immediately be informed so that the matter may be taken up with Health & Family Welfare Department.

6.3. If during household visits or otherwise it is found that the girls going to Govt. schools are not getting sanitary napkins regularly, NGO head should discuss the matter with the concerned authorities in School Education Department in the district. If the problem is not resolved at that level the matter should be reported to SOSVA so that it can be taken up with Department of School Education. Similarly if it is found that adolescent girls in area where these are distributed by Health Department are not getting sanitary napkins regularly, NGO head should discuss the matter with concerned officer in civil surgeon’s office. If the problem is not resolved at that level, SOSVA should immediately be informed so that the matter may be taken up with Health & Family Welfare Department.

Work Plan.

Coordinator should prepare in the beginning of the month a work plan for activities to be undertaken by each health worker and himself during the month indicating group meetings to be held, household to be visited, Ayurvedic camps to be organized, yoga classes to be held etc. It should be ensured that the households in which there is any pregnant woman, lactating mother, children below 6 years and persons above 30 years are visited at least once during a quarter, and households in which there are any pregnant women whose pregnancy is recorded as high risk during an ANC or a child below 1 year who was admitted to sick neonatal care unit are visited every month.

Outreach Camps

NGO head should ascertain from the District Health Authorities the programme for holding outreach camps in the project area or near the area. The project staff should then persuade the intended beneficiaries to attend these camps.

If adequate no. of outreach camps are not being held in a project area NGO head should take up the matter with District Health Authorities. In case of difficulty matter should be referred to SOSVA.

Annual check-up of persons above 30 years.

The NGO head should request SMO in-charge of CHC and other institutions in area a near the project area in which annual check-up of persons above 30 years age is to be done to fix the date and time on which annual health check up of persons from project area would be done. The project staff should then persuade persons above 30 years in the project area to get their annual medical check-up done on that date

10.Camps for Ayurveda. NGO head should draw up programme for holding camps for promoting Ayurveda treatment and home based remedies in consultation with the Distt. Ayurveda Officer. The number of camps to be held is given in the budget. The programme may be fixed by 20^th of the month for the camps to be held during the next month and sent to SOSVA’s office by email. The Coordinator would then contact the doctor from the Ayurveda Deptt. for attending the camp as resource person and health worker will ensure maximum attendance for these camps. In these camps information will be conveyed about Ayurvedic medicines, home based remedies for common ailments and facilities for Ayurvedic treatment in Govt. dispensaries. Medicines for common ailments may also be purchased for these camps within the provision made in the budget in consultation with the Distt. Ayurveda Officer. At least 4-5 photos of each camp showing the participants should be taken on the mobile camera and sent to SOSVA through mail and should preserved till monitoring visit by Chairman, Member Director or Programme Manager.

Qualifications of the Staff :-

12.1) Project Coordinator :

Trained ANM or Multi Purpose Health Worker with 3 years experience or M.A. in Social Sciences

with experience in health or community health education.

Graduate with Multi Purpose Health Worker diploma with 2 years experience in health or

Community Health Education.

Health Worker :

Trained as ANM or Nurse or Multipurpose Health Worker from Recognized Institution

Health supervisory certificate in community health worker with 3 years experience in Maternity Ward/Nursing care centre.

Health Workers should preferably be females. If a male is to be recruited he should also be trained

as Multi Purpose Health Worker with experience in health related field and there should be at least 1 female health worker.

The staff should have good communication skills & should preferably be residing within 5 kms from the Project area. No worker should be appointed who lives at a distance of more than 15 kms from Project area. Coordinator should have the capacity to supervise work of Health Workers and to liaison with offices from Health and other Departments.

12.2).A list of staff appointed on the Project indicating date of appointment and qualifications should be sent to SOSVA by email for information soon after appointment. If any worker resigns or is removed, SOSVA should be informed immediately through email. SOSVA should also be informed by email as soon as new staff is appointed in her place, indicating her qualification and the date of joining.

In case it is desired to appoint any person who does not fulfill above qualifications, the qualification & experience of such candidate alongwith reasons for relaxation in qualifications may be sent to SOSVA for approval before his/her appointment.

12.3) NGO heads may allow 10 days holidays in a year to the staff. A list of these holidays should be sent to SOSVA. If any change in this list is subsequently made it should also be conveyed to SOSVA. In addition, NGO head may sanction upto 1 day leave for one month service to the staff in the project. Salary should be deducted for any leave taken in excess. The leave register should be maintained. Leave should be entered as soon as it is sanctioned. If Coordinator or HW proceeds on leave for more than 3 days, SOSVA should be immediately informed when she proceeds on leave and thereafter when she rejoins.

13 A) Role of Coordinator :

i) Coordinator should divide the project area between the 2 HWs. She should also keep a part of the project area with herself where she will perform the duties of HW.
ii) The Coordinator will supervise the work of the HWs , obtain information from them regarding their area and prepare consolidated reports for baseline survey, quarterly/ half yearly and annual progress reports and other information that may be required by SOSVA.

14. Project Office should be set up within the Project area or very near it so that the inhabitants can contact the Project staff easily.
Training :-

Training for RCH staff is organized by SOSVA out of provision made for the same in the NGOs budget. Sometimes, some staff is appointed after the training in the vacancy caused due to resignation etc of original staff. The health workers in such cases may be given training by the Coordinator or the existing health staff or sent to SOSVA office for training after fixing the date with Programme Manager. A Coordinator who is appointed after the training workshop and who has not worked on any RCH project previously should be sent to SOSVA office for training after fixing the date with the Programme Manager. The expenditure on his/her travel may be debited to the provision in the budget for training.

I.E.C. Material:

16.1 IEC material will be produced centrally out of provision for the same in NGO’s budget and supplied from SOSVA to field NGOs. Record about distribution of IEC material received from SOSVA to Health Workers should be maintained by Coordinator and about distribution to target groups by Health Workers in the Stock Register. Flexes on important messages may also be produced centrally & given to NGOs. They should get these pasted at important places like PHCs, Schools, and Panchayat Ghar etc. Record of the places at which these have been pasted should be kept in Stock Register.

16.2 HWs should distribute IEC material during group meetings as per requirement of participants in those meetings e.g. material regarding care of pregnant women should be distributed in the meetings with pregnant woman , care of young children in meetings with mothers of young children , on adolescent health in meetings with adolescent girls etc. These may also be distributed to the target individuals who are not able to attend the meetings in their house. A copy of the booklet regarding information on various health issues supplied by SOSVA may be distributed among all households with atleast one literate person. A copy of material may also be supplied to the peer educators. Material in Punjabi may be distributed in households where atleast 1 member can read Punjabi . In other households , it may be distributed in Hindi if there is atleast 1 member who can read Hindi.

Records and Registers:

17.1 Each NGO is provided a register of household survey by SOSVA, which has to be filled on the basis of baseline survey. Service Registers are also provided to each NGO for recording the information regarding pregnant women lactating mothers, young children, adolescent girls and other matters . Information from Survey Registers should be entered in these Registers. These registers should be kept updated on the basis of information, which the field staff gets during the course of their visit to the field. For instance in the list of children details of the children born subsequently may be added and those who may die or cross the age of 6 years may be deleted. The name of girls who attain age of +9 yrs may be included in the list of adolescent girls.

Similarly in the case of pregnant women the new pregnancies may be added and those where deliveries take place or pregnancy is otherwise terminated may be deleted after making entries in the relevant column.

17.2 The activities in the camps register for Ayurvedic camps should be entered at the time when camp is held.

17.3 The NGO should also maintain the stock register provided by SOSVA. Coordinator should enter in her register, information regarding receipt and distribution of sanitary napkins , showing the dates on which these are received and dates on which and the health worker to whom those have been supplied. The health workers should maintain their stock register showing the sanitary napkins received from the Coordinator and their issues distributions to the beneficiaries during household visits with dates of distribution.

Record regarding receipt and distribution of IEC material should also be kept in this register.

17.4 Health Workers and Coordinators will also be supplied diaries. They should record daily activcities in those diaries.

Reports: NGOs are required to submit quarterly, half yearly and annual reports in the prescribed proforma. Although they are not required to send the monthly reports, they should prepare these for their own record and review of performance. These will be helpful in preparing the QPRs and in showing progress to monitoring officers.

Accounts:

19.1) Separate bank account should be opened for the project as far as possible . In any case , separate cashbook should be maintained of expenditure incurred out of funds provided under the Project. Expenditure incurred under each head of the sanctioned budget should also be recorded separately in a ledger. Proper receipts should be maintained of honorarium paid to the staff and doctors. Proper cash memo /receipts or vouchers should also be kept for other expenditure. All vouchers , cash memos/ receipts should be serially numbered and maintained in a separate file.

19.2) Where passbooks are issued by the bank, these should be got updated every month. Where bank statements are issued, these should be maintained in a separate file. Bank reconciliation statement should be prepared every month and kept in a file.

19.3) Where accounts are maintained in computer, a print out should be taken after end of every month and placed in a file so that any person visiting the project can see the same.

19.4) If a/c books are kept at another station the same, or their printout where accounts are maintained on computer, should be brought at the time of monitoring visit when due notice is given before the visit. In case for any reason it is not possible to show the accounts, on the date indicated for the visit, Programme Manager should be informed at least 1 day before the proposed date by email or on phone so that visit may be made on some other date. If the accounts are not shown at the time of visit, these will have to be brought to SOSVA’s office for scrutiny at NGO’s expenditure.

19.5) Utilization Certificates duly audited by Chartered Accountant and signed by the Chief Functionary of the NGO are required to be submitted half yearly within 15 days of the end of half year period for 1^st instalment of the grant received. Subsequently U.C. for the grant received during the whole year is required to be submitted within 15 days of end of the year. The bank interest received in the account also needs to be added to the grant received. The bank interest would become additional amount available for expenditure on the project. The amount of the bank interest received, may be spent on any of the heads in the project where such expenditure may be necessary subject to the condition that the total expenditure under any head should not exceed the budget provision by more than 10%. In case of sanitary napkins supplied to adolescent girls on subsidized rate, the total expenditure incurred on purchase of the napkins should be shown as expenditure and the amount received for supply at subsidized rate shown as receipt .

19.6) Expenditure under each head has to be within the provision made for that head in the sanctioned budget. For the sake of providing some flexibility, NGOs are allowed to spend upto 10% of the amount sanctioned under a head in excess of the amount sanctioned under that head. Any expenditure which exceeds the sanctioned amount under a head by more than 10% will have to be borne by the NGO itself and will not be included in the expenditure incurred on the project.

Any unspent balance out of total grant + interest at the end of the year is required to be refunded to SOSVA, alongwith the UCby cheque/bank draft in favour of SOSVA (N) RCH payable at chandigarh.

19.7) Grants are now credited directly to NGO’s a/cs. NGO head should ensure that the requisite information regarding bank a/c to which the amount has to be credited are correctly intimated so that there is no credit to a wrong a/c.

20. (i) Payments of honorarium to the staff or for any purchase for more than Rs. 2,000/- should be made by cheque or by direct credit to bank account. Honorarium to resource persons can be paid by cash against proper receipt. All purchases should be supported by cash memo/bills.

(ii) Minimum 3 quotations should be collected from vendors for purchasing any item above Rs. 2,000/-

Preservation of Records:

Since the RCH project being implemented is funded from the grant given by State Govt. A.G. Punjab may, take up audit of the expenditure incurred on the project even after its completion. State Govt. can also ask any of its officers or an outside agency to evaluate the project after it has been completed. It is, therefore, necessary to preserve the record for at least 3 years after completion of the project. Where the grant for implementation of the project for the same area is given for 2 or 3 years, the record for the entire period should be preserved for 3 years after the end of the last year during which the grant was received.

The record to be maintained should include the following: –

Pass book or bank statement
Cash book and ledger

All vouchers regarding expenditure incurred on the project out of grant

Audited UC including statement of income and expenditure and audited balance sheet
Sanction letter, quarterly, half yearly and annual progress reports.
Guidelines and instructions issued for implementation of the project by SOSVA.

Survey registers and service registers
Stock register showing receipts and issues of items purchased out of grant.

Copy of the following schemes and relevant information are enclosed:-

Anx. 1 Programme for supply of IFA tablets

Anx.2 Janani Surksha Yojna

Anx. 3 Janani Shishu Surksha Karyakaram

Anx.4 Schedule of Vaccination

Anx.5 Expected Average Weight of children in India

Anx. 6 Main Features of Pradhan Mantri Surakshit Matritva Abhiyan

Anx. 7 Main features of Pradhan Mantri Matritva Vandna Yojna(PMMVY)

Anxe – 1 to guidelines

Programme for supply of IFA tablets

Age Group

Dose

Periodicity

Agency

6–60 months

1ml of IFA syrup

containing 20 mg of

elemental iron and

100 mcg of folic acid

Twice a week throughout

the period 6–60

months of age and

de-worming for

children 12 months and above

Through ASHA

Inclusion in MCP

( Mother & Child) card

5–10 years

Tablets of 45 mg

elemental iron and

400 mcg of folic acid

Weekly throughout the

period 5–10 years of

age and every 6 months

de-worming

In school through

teachers and for out-of school

children through

Anganwadi centre (AWC)

10–19 years

100 mg elemental iron

and 500 mcg of folic acid

Weekly throughout the

period 10–19 years of

age and every 6 months

de-worming

In school through teachers

and for those out-of-school

through AWC

Pregnant and lactating

women

100 mg elemental iron

and 500 mcg of

folic acid

1 tablet daily for 100

days, starting after the

first trimester, at

14–16 weeks of gestation. To be repeated for 100 days

after delivery . Where Hb is between 9 gms & 11 gms 2 tablets per day for 100 days both for pregnant woman and lactating woman.

ANC/ ANM /ASHA

Inclusion in MCP card

Anx. 2 to guidelines

jnnI suriKAw Xojnw ADIn idqy jw rhy lwB

jnnI suriKAw Xojnw ADIn grIbI ryKw qo hyT Aqy AYs. sI. pirvwrW nUM hyT ilKI mwlI shwieqw idqI jWdI hY :

ipMf dIAW AorqW nUM pI. AYc. sI. jw srkwrI hspqwlW ivc flIvrI krwaux qy – 700 rupey
SihrW dIAW AorqW nUM pI. AYc. sI. jW srkwrI hspqwl ivc flIvrI krwaux qy – 600 rupey
e) Gr ivc jW iksy hor QW qy flIvrI hox qy jykr grBvqI dw nwEu ey.AYn.AYm. (ANM) kol rijstrf hovy Aqy jnypw ey.AYn.AYm. (ANM) , nrs jW lyvI hYlQ ivijtr (LHV) qO krvwieAw jwvy qW ipMfw/ SihrW dIAW AorqW nUM 500 rupey idqy jWdy hn

grIbI ryKw qo hyT (BPL) jW AnusUicq jwqI dw srtIiPkyt ipMf dw srpMc Aqy Sihr dw imaUMispl kwauMslr jwrI kr skdw hY [

Anx. 3 to guidelines

jnnI iSSu suriKAw kwrIXkrm

muPq jxypy dI suivDw (nwrml qy sjyrIAn)
muPq ielwj , dvweIAW Aqy ifspojybl smwn
muPq jWc ijvy Kun, ivSwb Aqy AltwsWauMf Awid) Aqy loV pYx qy muPq Kun cVwaux dI suivDw
nwrml jxypy dI sUurq ivc 3 idnW qk Aqy sjyrIAn hox qy 7 idnW qk hspqwl ivc dwKl rihx qy Kwxw muPq imlx dI suivDw
muPq Awaux jwx dI suivDw Gr qo ishq sMsQw qk qy rYPr hox dI sUurq ivc dUjI ishq sMsQw qk jwx qy Gr vwpsI qk dI shUlq
hspqwl ivc iksy vI qrHW dy XUjr cwrijj qo pUrI qrHW Cot
iek swl qk dy lVky Aqy pMj swl dIAW lVkIAW leI rwj dy swry srkwrI hspqwlW ivc fwktrI ielwj iblkul muPq

______

Anx. 4 to guidelines

tIk`krn leI inrDwirq smW

inrDwirq smW

tIkw

ibmwrIAW dI rokQwm

jnm dy smyN

hYpyt`eIts bI, polIE (A.pI.vI.)-0

hYpyt`eIts bI (pIlIAw), polIE

jnm qoN 12 mhIny q@k

bI.sI.jI.

tI.bI.

6 h&qy

pYNt`vylYNt (fI.pI.tI.+hYpytweIts-bI

+ ihb), polIE (E.pI.vI.)

glGotU, kwlI KwsI, tYtns, hYpytweIts bI

(pIlIAw), nmUnIAw Aqy idmwgI buKwr Aqy polIE

Ksrw Aqy AMDrwqw

10 h&qy

pYNt`vylYNt (fI.pI.tI.+ hYpytweIts -bI

+ ihb), polIE (E.pI.vI.)

14 h&qy

pYNt`vylYNt-polIE (A.pI.vI.) +

AweI.pI.vI. (ie@k tIk`)

9-12 mhIny

Ksry dw pihlwtIkw Aqy ivtwimn ey

Ksrw Aqy AMDrwqw

16-24 mhIny

fI.pI.tI. (bUstr), polIE (E.pI.vI.)

Aqy Ksry dI dUsrW tIkw + ivtwimn

(dUsrI Kurwk )

glGotU, kwlI KwsI, tYtns,

polIE ,Ksrw Aqy AMDrwqw

18 mhIny Eqy aus qoN

b`Ed hryk 6 mhIny

qy 5 swl dI aumr q@k

ivtwimn ey

AMDrwqw

5-6 swl

fI.pI.tI.

glGotU, kwlI KwsI, tYtns

10 swl Aqy 16 swl

tI. tI .

tYtns

Anx. 5 to guidelines

Expected Average Weight of Children in India

Boys		Girls
Age	Weight	Weight
Birth	2.6 kg	2.6 kg
3 months	5.3 kg	5.0 kg
6 months	6.7 kg	6.2 kg
9 months	7.4 kg	6.9 kg
1 yr	8.4 kg	7.8 kg
2 yrs	10.1 kg	9.6 kg
3 yrs	11.8 kg	11.2 kg

Anx. 6 to guidelines

Main Features of Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA)

The scheme provides for free medical check up of all women with 3 to 6 months pregnancy .
Check ups include tests for blood pressure, sugar level, weight, haemoglobin test, blood test and screening
All kinds of medical checkups under this scheme are completely free

The check up will take place on 9^th of every month.
A pregnant woman who attends the clinic for the tests for the 1^st time need not attend it subsequently unless asked by the doctor at the clinic.
Light refreshments may be provided to the pregnant women attending the test.
Free transportation facility is also provided to the pregnant women if asked by her.
The tests will take place in government and private hospitals which agree to participate in the scheme.

__________

Anx. – 7 to guidelines

Main Features of Pradhan Mantri Matritva Vandna Yojna (PMMVY)

All pregnant women and lactating mothers who have their pregnancy on or after 1.1.2017 for 1^st child in family are eligible except those who are in regular employment in central or state government or public sector undertakings and those who receive similar benefit from their employer.
Cash incentive will be provided to the eligible pregnant women and lactating mothers in 3 instalments :-

1^st instalment of Rs.1,000/- on early registration of pregnancy at anganwadi centre and with ANM.
2^nd instalment of Rs.2,000/- after six months of pregnancy provided she has received atleast first ante-natal check up.

3^rd instalment of Rs. 2,000/- after child birth is registered and the child has been received 1^st BCG, OPV, DPT and Hepatitis-B or Pentavalent vaccination.

The cash benefit will be credited directly to the bank account of the eligible beneficiary.

The benefits under JSY are in addition wherever conditions under that scheme are full filled.

__________

GUIDELINES for

IMPLEMENTATION OF PROJECT FOR TRAINING IN HOME CARE FOR ELDERLY AND CHRONNICALLY SICK PERSONS UNDER RCH PROGRAMME

OBJECTIVE
The objective of the projects is to impart training to both boys and girls for home care of elderly and chronically sick persons,

TRAINEES
Publicity about Programme: Publicity about the programme may be done though announcements/posters in religious institutions and through village sarpanches/ pradhans, etc. The expenditure may be met out of provision for contingencies.
Trainees to be Enrolled: Training is to be imparted in 4 batches of 3 months each. Each batch will consist of 25 trainees. Efforts should be made to ensure that all 25 trainees are enrolled at the beginning of the session. For the second , third or fourth batch, trainees should be enrolled at least 15 days before start of training. In any case, no trainee should be enrolled after one month of the start as she will not be able to acquire the necessary skill to utilize the training. The NGO may, if necessary, enroll up to 28 trainees in the beginning so that, if up to 3 trainees drop out before completion, 25 trainees would still be able to complete the training. If by end of 1^st month of the start of the 1^st batch or by start of the 2^nd and subsequent batch number of women enrolled is less than 25, SOSVA should be immediately informed about the number of women enrolled so that decision may be taken whether to continue or discontinue the project.
The trainees should be at least matriculates and should not be below 18 years age. It should be ensured that those selected for training are able to acquire relevant skill and prepare note books (in English, Punjabi or Hindi.

Ineligible Trainees. Person studying in a school or college should not normally be enrolled as they are not likely to utilize the training in the near future .
List of Trainees. A list of trainees should be maintained in the format at Annex 1. This list should be kept up to date by deleting names of persons who leave the training midway and adding those who join in their place within 1 month of start of training. A copy of the list for the 1^st batch should be sent to SOSVA within 7 days of the start of the 1^st batch and list of 2^nd batch within 7 days of beginning of 2^nd batch. In case the list is not received within 7 days of start of training it will be assumed that training was stated from the date on which list was sent by email and salary of the teacher may be allowed from that date.

If any trainee is enrolled thereafter under Para-3, and not later than 1 month of start of training a revised list in Annexure-1 should be sent within one month of the start of batch.

Fees for the Programme. Rs. 150/- p.m. should be collected from the trainees as fee, against receipts to be issued by field NGO. The NGO may, if so desired, not collect the fee from any trainee the trainees who cannot afford it or recover a smaller amount but the same will have to be borne by it from its own resources or by donations.

III. SYLLABUS

Syllabus for the programme is given in Annex 2. In case any additional items or modification in the syllabus are considered necessary for improving employability of the trainees, there is no objection to those being made in the syllabus. The changes made in the syllabus should be intimated to SOSVA. A monthly breakup of the syllabus to be covered should be sent to SOSVA within 15 days of the start of the training. Its copy should also be kept in the Centre.
Practical training may be given at Government hospitals. Necessary permission for this purpose has been accorded by Director, Health and Family Welfare, Punjab. Any Incidental expenses on clinical training may be incurred, if required, out of provision in the budget for travelling expenses of trainers & trainees.

IV.ELIGIBILITY CONDITIONS FOR TEACHERS

10.1 The trainer should be BSc Nursing. Copy of the certificate should be sent to SOSVA immediately after her appointment.

10.2 Where a teacher leaves service, or if she is removed, SOSVA should be informed immediately. SOSVA should also be immediately informed when a new teacher is appointed. The qualifications mentioned in Para 10.1 are equally applicable in her case, too. 10.3 Particulars of the teacher indicating the name, qualification, mobile no. and whether it has facility of WhatsApp should be sent within seven days of start of training or where a new teacher is appointed under Para-10.1 within 7 days of her appointment. Copy of her certificate should also be sent to SOSVA within 7 days of her appointment.

Teachers may be granted leave @1 day per month of service. For any leave taken in excess, salary for extra days of absence should be deducted. Substitute teacher may be appointed, if available, and her honorarium for up to 10 days may be met out of provision under ‘Salaries’ ‘honorarium’ or ‘Contingencies’.
INFRASTRUCTURE TO BE PROVIDED BY NGOS
Equipment/ Material. NGO will arrange equipment/materials as per Annex 3. The expenditure on the same has to be borne by the NGO
Location. Training is to be imparted in the village/ town mentioned in the Sanction letter if it becomes necessary to change the location, prior approval of SOSVA should be obtained giving:
Reasons for the change.
Population of the proposed village/town.
Distance from the NGO’s office.
Whether a suitable qualified teacher for imparting training at that location has been located.
14. Accommodation. The centre where training is imparted should have adequate accommodation for seating of trainees. It should be well lit and trainees should have access to suitable toilet facilities.

Provision has been made in the budget for payment of rent. Where the NGO imparts training in own building the rent at the rate indicated in the budget will be paid by the project to the NGO. Where the training is held in a building obtained rent free, expenditure up to Rs. 3000/- @ Rs. 250/- pm may be incurred on maintenance of the building. In such cases, only expenditure @ Rs.250/- per month should be shown in the UC and not the entire provision made in the budget for rent. Where the NGO is running two projects at the same location, there is no objection to the same premises being used for both the projects. The rent paid in such cases should be divided between the two projects and charged to such projects within the amount provided in the budget.

Banner / Notice. A banner as per design shown in Annex 4 will be displayed prominently at/ outside the venue. Some modifications in the design may be made as necessary but it should clearly state that the Centre is funded by Punjab Government. A notice in the form as shown in Annex 5 should also prominently be displayed at the Centre.
CONDUCT OF TRAINING
Timings. Training will be conducted at the venue and during timings intimated to SOSVA before start of the project. Any change should be conveyed immediately. Normally, training should be for at least 4 hours a day for 6 days in a week. In case of power cuts during that period or any other contingency, the timings may be changed but SOSVA should immediately be informed.
Holidays. The NGO may allow holidays up to 10 days in a year. List of holidays should be sent to SOSVA well in advance. Any change in these should also be intimated to SOSVA in advance.
Attendance. The importance of regular attendance should be drilled into all trainees. The teacher should take daily attendance of the trainees and keep its record in the attendance register. If any trainee does not attend the class for more than 2 days without information, the teacher should contact her/ him and impress on her need for regular attendance.
Training Material. Provision has been made in the budget for purchase of training material including books. List of items that may be purchased out of this provision is at Annex 6. Other expendable items required for training may also be purchased out of this provision within the budget amount. The books to be supplied to trainees should be in Hindi or Punjabi according to the language in which the trainees will be able to understand.

20.1 Note-Books. All trainees must prepare their practical note books and sample file. The teacher should examine these notebooks once a week and make necessary corrections. Individual attention should be paid to each trainee to enable her to achieve the desired skill by end of the course.

20.2. Internal Tests. The trainees should be given tests both for theory and practical work in the 1^st week of every month to evaluate their progress and ensure that special attention is given to the aspects in which a particular trainee is weak so that by end of the training all trainees acquire necessary skill. The record of these tests may be kept in the trainees’ notebooks for ready reference

21.Preparing trainees for employment. Since one of the objective of the scheme is to provide trained person for home care to the elderly and chronically sick. it should be ensured that the candidates are well trained and they should be helped to get employment

VII. FINAL TEST

On completion of training, the students should be got tested by a Nursing Sister and the result of the test (theory+practical) should be maintained by the NGO as per Annex-7. A teacher who has imparted training should not be appointed as examiner for the same class. The NGO may allow the trainees who fail the test to sit in the class for next batch but their number will not be included in the number of regular trainees enrolled under Para 3.
Certificates. On completion of the training a certificate in the format at Annex 9 may be issued to the trainees who have completed their training and passed the test. The NGO may modify the certificate, if necessary, but it should clearly mention that the training has been imparted with the help of grant received from Punjab Govt. through SOSVA.

VIII. POST TRAINING FOLLOW-UP

Proper follow up should be done of trainees after completion of training to find out whether they are able to obtain employment/ and help them to secure it whenever necessary Provisions has been made in the budget for expenditure as follow up. A statement showing trainees who have received training in the previous batch and their follow up record should be kept in the format at Anx -8. Status regarding trainees of 2^nd batch of the previous year should be prepared in the beginning of training for current year and status regarding trainees of 1^st batch of current year should be prepared on completion of their training Where the trainee is found to be not employed/ self-employed, efforts should be made to secure employment, self employment Efforts made and results achieved may be recorded in the statement. Where the trainee subsequently obtains employment, information about the same may be entered under relevant columns.
A session may be held with trainees of the previous batch after about 3 to 4 months of completion of training to get feedback about the utility of training and any changes required to improve their chance to get employment. A brief record of the session, indicating the number of trainees who attended and their feedback should be kept. Any suggestions which may be considered useful should be sent to SOSVA. The expenditure on this may be met out of provision made in the budget for follow up.

Annexure 1

LIST OF TRAINEES ENROLLED FOR THE 1^ST BATCH/ 2^ND BATCH

FROM _____________ TO________________

NO.

NAME

Whether belong to SC/ST

ADDRESS

PHONE NO

TRAINEE

FATHER/ HUSBAND

Yes

MOBILE

LANDLINE

Annexure 2

SYLLABUS FOR TRAINING IN HOME NURSING

Block 1: Basics of Home Based Care

Unit 1: Introduction to Home Based Care

Unit 2: Communication and Interpersonal Relationship

Unit 3: Infection – Prevention and Control

Unit 4: First Aid at Home particularly relating to fractures, burns and bleeding

Unit 5: Care of Elderly – maintaining safe, healthy and secure environment for elderly.

Block 2: Health Conditions / Problems Requiring Home Based Care

Unit 1: Introduction to Human Body Systems

Unit 2: (a) Problems Related to Brain (Nervous System)

(b) Care of Patients suffering from Parkinson Disease, Alzheimer

Unit 3: (a) Problems Related to Digestive and Urinary Organs

(b) Care of Patients suffering from Urinary Tract Infection

Unit 4: (a) Problems Related to Heart, Blood Vessels and Lungs

(b) Care of Patients who had heart attack , stroke, TB, Asthma, Bronchitis

Unit 5: (a) Problems Related to Bones, Joints, Muscles and other conditions

(b) Care of Patients suffering from Arthritis, Osteoarthritis and Osteoporosis

Unit 6: Care of Patients suffering from Cancer

Block 3: Components of Basic Care – I

Unit 1: Hygienic Measure

Unit 2: Comfort and Safety Measures

Unit 3: Administration of Medicine

Unit 4: Dietary Management

Block 4: Components of Basic Care – II

Unit 1: Supportive Care

Unit 2: Care of Dying Person

Unit 3: Monitoring and Follow Up

Unit 4 Recognizing Symptoms of Heart Attacks and Stroke, managing the patient till arrival of doctor or ambulance.

PRACTICAL IN CLINICAL AREA

Practical Manual – I

Skill 1: History Taking Skills – Making notes of daily progress of persons under care

Skill 2: Skills Related to Personal Hygiene, use of bed pans for urine and stools

Skill 3: Measurement of Vital Signs – TPR (Temperature, Pulse, Respiration)

Skill 4: Measurement of Blood Pressure, management of high and low blood pressure.

Skill 5: Giving Positions with use of comfort devices; helping patients/elderly who cannot walk

Skill 6: Helping patients in physiotherapy

Skill 7: Skills in giving medicines

Skill 8: Massaging the patient

Skill 9 : Practical on dummies (in hospitals)

Skill 10: Bio-medical waste disposal.

PRACTICAL

Practical Manual – II

Skill 11: Skills related to collection of samples at home.

Skill 12: Skills related to feeding of patients

Skill 13: Skills related to elimination needs

Skill 14: Skills in Giving Inhalation

Skill 15: Skills in Dressing and Suction

Skill 16: Skills related to hot and cold application

Skill 17: Assisting patients in mbulation

REVISION AND EXAMINATION

Annexure 3

EQUIPMENT REQUIRED FOR PROJECT REGARDING TRAINING IN HOME CARE

1	B.P. Apparatus
2	Stethoscope
3	Nebulizer
4	Steam Inhaler
5	Reppling mattress
6	Weighing Machine
7	Hot Water Bottle
8	Rubber Sheet/Mackintosh
9	Draw Sheet
10	Torch
11	Gown
12	Call Bell
13	Plastic Bags Blue, black and yellow
14	Dustbin
15.	Thermometer
16.	Syringes 50 cc and 100 cc
17	Foley Catheter
18	Tourniquet
19	Suction Catheter
20	Oxygen Mask
21	Small scissors
22	Uro Bag
23	Gloves (Disposable) – Packet
24	Mask – Packet
25	Hair Cap – Packet
26	Sponge Cloth
27	Comb
28	Tooth Brush

Anx. 4

sosvw rwhIM imlI pMjwb srkwr dI gRWt nwl clwieAw jw irhw hom nrisMg dw ਸਿਖਲਾਈ kyMdr

Anx. 5

Notice

Annexure 6

ITEMS TO BE PURCHASED FROM BUDGET

TRAINING IN HOME CARE

1	Ice Caps
2	Transfer Forceps
3	Drum
4	Dressing Kit
5	Betadine Solution Bottle
6	Cotton Rolls
7	Normal Saline Bottle
8	Micropore
9	Spatula
10	Spirit
11	Small Towel for Sponging
12	Registers (Attendance)
13	Hair Oil
14	Shampoo Bottle
15	Bath Soap
16	Talcum Powder
17	Bandage
18	Gauze piece (4×4)
19	Liquid soap bottle

Anx – 7

Performa for result of final test

Sr. No

Name of Trainee

Father’s /Husband Name

Theory paper

Maximum Marks=100

Practical exam

Maximum

Marks=50

Practical File

Maximum Marks=25

Viva

Maximum

Marks=25

Total Marks=200

Marks obtained

Annexure 8

STATEMENT SHOWING FOLLOW-UP OF TRAINEES WHO COMPLETED TRAINING

IN (NAME OF SKILL) ________________ FROM _____________ TO _____________

S.NO.

NAME

ADDRESS

MOBILE

NUMBER

IF EMPLOYED,

MONTHLY INCOME

DATE

INFORMATION

HOW COLLECTED?

REMARKS*

BY PHONE

BY VISIT

*REMARKS will include reasons for not utilizing the training and help rendered by the NGO.

Annexure 9

CERTIFICATE OF COMPLETION OF TRAINING

Name of NGO

___________________________________________________________________

Registered under the Societies Registration Act XXI of 1860 and as Amended by Punjab Amendment Act.,1957, Govt. of Punjab

Sr.No.

This is to certify that Mr./ Ms. ____________________________ wife/daughter/Son of Sh. ____________________ Resident of _________________________ has completed six months training from ___________to ___________in ______________ (Name of skill) funded by Govt. of Punjab

through SOSVA, Punjab as Mother NGO .

Date of Issue : Chief Functionary

(Stamp of NGO)

2024-25

GUIDELINES for

IMPLEMENTATION OF REPRODUCTIVE & CHILD HEALTH CARE (RCH) PROGRAMME

OBJECTIVE

The main objective of the programme is to supplement the efforts of Health Department to improve the health status of the poorer sections and in particular:

To improve the health status of pregnant women and lactating mothers and reduce maternal mortality.
To improve the health status of children up to 6 years of age and reduce infant and child mortality.
To improve health of adolescent girls and sensitize them on health issues.
To improve health of general public by creating awareness regarding nutrition, personal hygiene & sanitation, harmful effects of intoxicants.
To promote Ayurveda for improvement in general health status..
To improve health care of aged by creating awareness about major diseases and promoting annual medical check for their timely detection and awareness about facilities under National Programme for care of elderly.

ROLE OF THE NGO

The main role of NGOs in the programme will be:

Creating awareness about various issues regarding health of pregnant women, adolescent girls, young children, lactating mothers and elderly from poorer sections of society through group discussion & visits to households.
Persuading and where necessary helping poor people in project area to take benefit of Government schemes
Persuading the intended beneficiaries to attend the outreach camps being organized by the Health Deptt. and persons above 30 years to get their annual medical check-up done in CHCs and Hospitals where these check ups are done free.
Organizing camps for promoting use of Ayurvedic treatment and home based remedies.

III. BASELINE SURVEY

3.1 NGOs should also prepare a list of maternal deaths which occurred in their project area (deaths which occurred due to complications during pregnancy and child birth)

I V. ACTIVITIES UNDER THE PROGRAMME

In all group discussions awareness about Aam Aadmi Clinics and facilities available in Jan Aushadhi and their location will be added.

Meetings with Pregnant Women

(i) Importance of having before delivery minimum 3 ANCs done and taking one IFA tablet daily for 180 days and one calcium tablet daily after 4 months of pregnancy. Need for taking iron rich food besides IFA ablets to prevent anemia.

(ii) Importance of having proper nutrition during pregnancy and availing of supplementary nutrition from Anganwaris.

(ii) Signs of high-risk pregnancies, care for such pregnancies, management of minor problems during pregnancy.

(iii) Importance of having medical check-up done from the doctor under Pradhan Mantri Surakshit Matritav Abhiyan (PMSMA).

(iv) Facilities available in government hospitals for free treatment including free tests, medicines, diet during hospital stay and free conveyance to pregnant women for delivery. Benefits of institutional deliveries. In area where there are still large no. of deliveries at home, special emphasis should be laid on persuading them to go in for institutional deliveries.

(vi) Educate them about the fact that girls are now equal asset for the family . Make them aware against female feticide.

(v) Benefits available under JSY and PMMVY and procedure for availing of the same.

Meetings with Lactating Mothers and Mothers of Children up to 6 Years
Need for having 4 PNCs as per provided schedule including 1 within 24 hours of delivery.
Need for taking IFA tablet regrlarly for 4 months after delivery. Iron rich food to prevent anemia.

Need for giving Vitamin-A to children 1½ to 5 years age every 6 months.

Exclusive breast feeding for 6 months and giving adequate supplementary food to child after 6 months, availing of supplementary food lactating mother and children from Anganwari , dealing with problems that may arise during breast feeding.
Need for giving dose of deworming medicine after every 6 months
The schedule of vaccination required to be given to children up to 3 years age. HW should ascertain whether the children have been given all the vaccinations due for their age and if not persuade the mother of the child to take the child to Anganwadi during next visit of ANM for vaccination.

Prevention and management of diarrhea and pneumonia during childhood.
Facility for free treatment of all children up to 1 year age and girl child up to 5 years age in govt. hospitals.

Need for giving equal treatment to the girl child in nutrition, medical care and education.
Meetings with Adolescent Girls Not Going to School
Menstrual hygiene, use of sanitary napkins.
RTI/STI symptoms, prevention and facilities for treatment.

iii. Need for proper nutrition. Taking IFA tablets and iron rich food to prevent anemia, taking IFA tablets and supplementary food from Anganwaris.

Meetings with Persons Above 30 Years Age
Major diseases like TB, heart attack, stroke, diabetes, breast/ cervical/ lung cancer – prevention, symptoms and facilities for treatment.
Facilities of cashless free treatment available under Pradhan Mantri Arogya Yojna. Hospitals in which cashless treatment is available in their area and types of treatment for which this facility is available.

iii. Facilities for check up and treatment, available in upgraded PHCs and Health & Wellness Centres.

Importance of availing facilities of free annual medical check-up in CHCs/ Urban PHCs and district hospitals for early detection of any disease.

4.2 In a project in which whole or part of the area is not covered by anganwadis.

a) If the population of that locality is attached with another anganwadi for purpose of Poshan, the workers under the project should help in implementation of the scheme by persuading intended beneficiaries to attend meetings under the scheme.
b) If the inhabitants of that locality are not attached to another anganwadi for purpose of the Abhiyan. NGO head should meet the project officer of ICDP to request him to attach the area to some anganwadi. In case it is not done at that level he should inform SOSVA so that the matter maybe taken with Department of Social Security Women and Child Development. Until then, 1. In addition to the items mentioned under Sub- Para (a) of Para-4.2, the awareness in respect of following matters should also be conveyed during meetings with pregnant women.
Nutrition during pregnancy, availing of supplementary nutrition from anganwadis
Importance of having proper Hb level and calcium during pregnancy, foods containing iron and calcium, need for taking IFA and calcium tablets regularly for 6 months after 1^st trimester of pregnancy. How to deal with minor problems that may arise with their use. Need for taking deworming tablet (Albendazole) between 4^th and 6^th month of pregnancy.

iii. Janani Suraksha Yojana (JSY) – procedure for obtaining its benefits.

Pradhan Mantri Matritav Vandana Yojana, benefits available under the scheme and procedure for availing of the benefit
Importance of giving first milk child birth to the child and exclusive breast feeding for six months: its benefits for mother and child. How to deal with problems that may arise.
During meetings with lactating Mothers and Mothers of Children up to 6 years, in addition to the items mentioned in Sub-Para (b) of Para-4.1, awareness in respect of following
Need for proper nutrition, availing of benefit of supplementary nutrition for lactating mothers and children from Anganwadi.
Importance of having proper Hb level and calcium during lactation period, foods containing iron and calcium , need for taking IFA tablets and calcium tablets regularly for 6 months after delivery . How to deal with the minor problem that may arise with their use.

iii. Advantages of exclusive breast feeding for 6 months and how to deal with problems that may arise.

Supplementary food to child after six months.
Problem of anemia among children, diets containing adequate iron for the child, need for supplementing it by giving IFA syrup/tablets regularly. Availing of free distribution of IFA and calcium tablets to lactating mothers and IFA tablets to children by ASHA/ANM. Need for giving de-worming medicine after every 6 months after delivery.
Household Visits.

5.1 Coordinators and health Workers should visit at least 1700(600 by each Health Worker and 500 by Coordinator) households in the project per month. During the visits they should:-

Check whether, pregnant women are getting due ANCs done and taking IFA tablets after 3 months and calcium tablets after 4 months of pregnancy regularly.
Prepare list of pregnancies which have been declared high risk during an ANC and track them on monthly basis to ensure that they get regular ANCs done, take IFA tablets regularly and have their delivery in a hospital.
Prepare a list of children below 1 year who were kept in sick neonatal care units and ensure that they are given exclusive breast feeding for 6 months and proper medical treatments for any ailments.
Interact with beneficiaries including persons above 30 years age who cannot attend the group meetings and convey necessary information about various health issues and Govt. Schemes..
Persuade drug addicts, TB patients and HIV/ AIDS patients to go to specialist centres and continue treatment till cured.
Find Out

Whether lactating mothers and children from 6 months to 5 years are getting IFA Tablets regularly.
Whether lactating mothers are getting IFA tablets, calcium tablets regularly till six months after delivery.
Whether pregnant women have got check-up done from the doctor under PM Surakshit Matritva Yojana.
Place where the delivery was done.
Whether delivery was by normal or by caesarean operations.
Whether pregnant women, lactating mothers and children up to 6 years age living in area served by Anganwadi are getting nutrition from Anganwadi regularly.
Whether pregnant women eligible for JSY who got delivery in government hospital have received the benefit of the scheme.
Whether women and lactating mothers who are eligible for benefit of PM Matritva Vandana Yojana have received the benefit.

9 . Whether children below 3 years age had got all the vaccinations due for the age.

Whether children between1 years up to five years got vitamin-A dose after six month.
Whether children below 6 years had got deworming medicine after every 6 months. 12. Whether the mother had received the PNC which was due.
Whether children up to 6 months are being given exclusive breast feeding.
Whether the persons in the household above 30 years of age had got annual medical check-up

6 Follow up on Group Meetings and household visits.

Work Plan.

Outreach Camps

If adequate no. of outreach camps are not being held in a project area NGO head should take up the matter with District Health Authorities. In case of difficulty matter should be referred to SOSVA.

Annual check-up of persons above 30 years.

Qualifications of the Staff :-

12.1) Project Coordinator :

Trained ANM or Multi Purpose Health Worker with 3 years experience or M.A. in Social Sciences

with experience in health or community health education.

Graduate with Multi Purpose Health Worker diploma with 2 years experience in health or

Community Health Education.

Health Worker :

Trained as ANM or Nurse or Multipurpose Health Worker from Recognized Institution or Certificate

in Jan Swasthya from National Institute of Open Schools.

Health supervisory certificate in community health worker with 3 years experience in Maternity Ward/Nursing care centre.

Health Workers should preferably be females. If a male is to be recruited he should also be trained

as Multi Purpose Health Worker with experience in health related field and there should be at least 1 female health worker.

13 A) Role of Coordinator :

i) Coordinator should divide the project area between the 2 HWs. She should also keep a part of the project area with herself where she will perform the duties of HW.
ii) The Coordinator will supervise the work of the HWs , obtain information from them regarding their area and prepare consolidated reports for baseline survey, quarterly/ half yearly and annual progress reports and other information that may be required by SOSVA.
14. Project Office should be set up within the Project area or very near it so that the inhabitants can contact the Project staff easily.
Training :-

I.E.C. Material:

Records and Registers:

17.2 The activities in the camps register for Ayurvedic camps should be entered at the time when camp is held.

Record regarding receipt and distribution of IEC material should also be kept in this register.

17.4 Health Workers and Coordinators will also be supplied diaries. They should record daily activities in those diaries.

Reports: NGOs are required to submit quarterly, half yearly and annual reports in the prescribed proforma. Although they are not required to send the monthly reports, they should prepare these for their own record and review of performance. These will be helpful in preparing the QPRs and in showing progress to monitoring officers.

Accounts:

19.3) Where accounts are maintained in computer, a print out should be taken after end of every month and placed in a file so that any person visiting the project can see the same.

Any unspent balance out of total grant + interest at the end of the year is required to be refunded to SOSVA, along with the UC by cheque/bank draft in favour of SOSVA (N) RCH payable at Chandigarh.

20. (i) Payments of honorarium to the staff or for any purchase for more than Rs. 2,000/- should be made by cheque or by direct credit to bank account. Honorarium to resource persons can be paid by cash against proper receipt. All purchases should be supported by cash memo/bills.

(ii) Minimum 3 quotations should be collected from vendors for purchasing any item above Rs. 2,000/-

Preservation of Records:

The record to be maintained should include the following: –

Pass book or bank statement
Cash book and ledger
All vouchers regarding expenditure incurred on the project out of grant
Audited UC including statement of income and expenditure and audited balance sheet
Sanction letter, quarterly, half yearly and annual progress reports.
Guidelines and instructions issued for implementation of the project by SOSVA.
Survey registers and service registers
Stock register showing receipts and issues of items purchased out of grant.

Copy of the following schemes and relevant information are enclosed:-

Anx. 1 Programme for supply of IFA tablets

Anx.2 Janani Surksha Yojna

Anx. 3 Janani Shishu Surksha Karyakaram

Anx.4 Schedule of Vaccination

Anx.5 Expected Average Weight of children in India

Anx. 6 Main Features of Pradhan Mantri Surakshit Matritva Abhiyan

Anx. 7 Main features of Pradhan Mantri Matritva Vandna Yojna(PMMVY)

Annnexure – 1 to guidelines

Programme for supply of IFA tablets

Age Group

Dose

Periodicity

Agency

6–60 months

1ml of IFA syrup

containing 20 mg of

elemental iron and

100 mcg of folic acid

Twice a week throughout

the period 6–60 months of age and de-worming for

children 12 months and above

Through ASHA

Inclusion in MCP

( Mother & Child) card

5–10 years

Tablets of 45 mg

elemental iron and

400 mcg of folic acid

Weekly throughout the

period 5–10 years of

age and every 6 months

de-worming

In school through

teachers and for out-of schoolchildren through Anganwadi centre (AWC)

10–19 years

100 mg elemental iron and 500 mcg of folic acid

Weekly throughout the

period 10–19 years of

age and every 6 months

de-worming

In school through teachers and for those out-of-school

through AWC

Pregnant and lactating

women

100 mg elemental iron and 500 mcg of

folic acid

1 tablet daily for 100

days, starting after the

first trimester, at

14–16 weeks of gestation. To be repeated for 100 days

after delivery. Where Hb is between 9 gms & 11 gms 2 tablets per day for 100 days both for pregnant woman and lactating woman.

ANC/ ANM /ASHA

Inclusion in MCP card

Anx. 2 to guidelines

jnnI suriKAw Xojnw ADIn idqy jw rhy lwB

jnnI suriKAw Xojnw ADIn grIbI ryKw qo hyT Aqy AYs. sI. pirvwrW nUM hyT ilKI mwlI shwieqw idqI jWdI hY :

ipMf dIAW AorqW nUM pI. AYc. sI. jw srkwrI hspqwlW ivc flIvrI krwaux qy – 700 rupey
SihrW dIAW AorqW nUM pI. AYc. sI. jW srkwrI hspqwl ivc flIvrI krwaux qy – 600 rupey
e) Gr ivc jW iksy hor QW qy flIvrI hox qy jykr grBvqI dw nwEu ey.AYn.AYm. (ANM) kol rijstrf hovy Aqy jnypw ey.AYn.AYm. (ANM) , nrs jW lyvI hYlQ ivijtr (LHV) qO krvwieAw jwvy qW ipMfw/ SihrW dIAW AorqW nUM 500 rupey idqy jWdy hn

grIbI ryKw qo hyT (BPL) jW AnusUicq jwqI dw srtIiPkyt ipMf dw srpMc Aqy Sihr dw imaUMispl kwauMslr jwrI kr skdw hY [

Anx. 3 to guidelines

jnnI iSSu suriKAw kwrIXkrm

muPq jxypy dI suivDw (nwrml qy sjyrIAn)
muPq ielwj , dvweIAW Aqy ifspojybl smwn
muPq jWc ijvy Kun, ivSwb Aqy AltwsWauMf Awid) Aqy loV pYx qy muPq Kun cVwaux dI suivDw
nwrml jxypy dI sUurq ivc 3 idnW qk Aqy sjyrIAn hox qy 7 idnW qk hspqwl ivc dwKl rihx qy Kwxw muPq imlx dI suivDw
muPq Awaux jwx dI suivDw Gr qo ishq sMsQw qk qy rYPr hox dI sUurq ivc dUjI ishq sMsQw qk jwx qy Gr vwpsI qk dI shUlq
hspqwl ivc iksy vI qrHW dy XUjr cwrijj qo pUrI qrHW Cot
iek swl qk dy lVky Aqy pMj swl dIAW lVkIAW leI rwj dy swry srkwrI hspqwlW ivc fwktrI ielwj iblkul muPq

______

Anx. 4 to guidelines

tIk`krn leI inrDwirq smW

inrDwirq smW

tIkw

ibmwrIAW dI rokQwm

jnm dy smyN

hYpyt`eIts bI, polIE (A.pI.vI.)-0

hYpyt`eIts bI (pIlIAw), polIE

jnm qoN 12 mhIny q@k

bI.sI.jI.

tI.bI.

6 h&qy

pYNt`vylYNt (fI.pI.tI.+hYpytweIts-bI

+ ihb), polIE (E.pI.vI.)

glGotU, kwlI KwsI, tYtns, hYpytweIts bI

(pIlIAw), nmUnIAw Aqy idmwgI buKwr Aqy polIE

Ksrw Aqy AMDrwqw

10 h&qy

pYNt`vylYNt (fI.pI.tI.+ hYpytweIts -bI

+ ihb), polIE (E.pI.vI.)

14 h&qy

pYNt`vylYNt-polIE (A.pI.vI.) +

AweI.pI.vI. (ie@k tIk`)

9-12 mhIny

Ksry dw pihlwtIkw Aqy ivtwimn ey

Ksrw Aqy AMDrwqw

16-24 mhIny

fI.pI.tI. (bUstr), polIE (E.pI.vI.)

Aqy Ksry dI dUsrW tIkw + ivtwimn

(dUsrI Kurwk )

glGotU, kwlI KwsI, tYtns,

polIE ,Ksrw Aqy AMDrwqw

18 mhIny Eqy aus qoN

b`Ed hryk 6 mhIny

qy 5 swl dI aumr q@k

ivtwimn ey

AMDrwqw

5-6 swl

fI.pI.tI.

glGotU, kwlI KwsI, tYtns

10 swl Aqy 16 swl

tI. tI .

tYtns

Anx. 5 to guidelines

Expected Average Weight of Children in India

Boys		Girls
Age	Weight	Weight
Birth	2.6 kg	2.6 kg
3 months	5.3 kg	5.0 kg
6 months	6.7 kg	6.2 kg
9 months	7.4 kg	6.9 kg
1 yr	8.4 kg	7.8 kg
2 yrs	10.1 kg	9.6 kg
3 yrs	11.8 kg	11.2 kg

Anx. 6 to guidelines

Main Features of Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA)

The scheme provides for free medical check up of all women with 3 to 6 months pregnancy .
Check ups include tests for blood pressure, sugar level, weight, haemoglobin test, blood test and screening
All kinds of medical checkups under this scheme are completely free

The check up will take place on 9^th of every month.
A pregnant woman who attends the clinic for the tests for the 1^st time need not attend it subsequently unless asked by the doctor at the clinic.
Light refreshments may be provided to the pregnant women attending the test.
Free transportation facility is also provided to the pregnant women if asked by her.
The tests will take place in government and private hospitals which agree to participate in the scheme.

__________

Anx. – 7 to guidelines

Main Features of Pradhan Mantri Matritva Vandna Yojna (PMMVY)

All pregnant women and lactating mothers who have their pregnancy on or after 1.1.2017 for 1^st child in family are eligible except those who are in regular employment in central or state government or public sector undertakings and those who receive similar benefit from their employer.
Cash incentive will be provided to the eligible pregnant women and lactating mothers in 3 instalments :-

1^st instalment of Rs.1,000/- on early registration of pregnancy at anganwadi centre and with ANM.
2^nd instalment of Rs.2,000/- after six months of pregnancy provided she has received atleast first ante-natal check up.

3^rd instalment of Rs. 2,000/- after child birth is registered and the child has been received 1^st BCG, OPV, DPT and Hepatitis-B or Pentavalent vaccination.

The cash benefit will be credited directly to the bank account of the eligible beneficiary.

The benefits under JSY are in addition wherever conditions under that scheme are full filled.

__________