1. Community Participation Women Group Leaders Sanjeevanies to ASHA Haryana

2. Background Initiated as Integrated Women Empowerment and Development Program (IWEDP) by Department of Woman and Child Development 1994 Social issues – entry point. Knowledge is key to empowerment. Focused on development of women for ensuring their survival, dignity, better health- status, leadership quality that would ultimately lead to lower Maternal and Infant mortality.

3. Sanjeevanies in Health Replication of IWEDP model in 3 districts. Entry point – Health Knowledge is key to empowerment Focused on information flow on health issues and the health determinants that effect the health of women and children

4. Aims to…… develop the leadership quality in women of all communities change the present position and status of women generate awareness in both men and women on their health rights and on the available health services to optimize the utilization of health services partner with men to improve quality of life decrease infant mortality rate and maternal mortality

5. Who is a Sanjeevani? A cadre of rural women who play a role of change- agents They contribute towards development of women with a focus on Health, Nutrition, Sanitation, Delayed Marriages, Small Family Norm, and Spacing They generate awareness on available existing facilities They enhance gender Sensitization of men This model develops women as social activists

6. Who could be a Sanjeevani Self dependent social worker 1.Having patience & presence of mind 2.Co-operative, sympathetic and lovable 3.Capable of fighting injustice 4.MSS member 5.Not a wife of Govt. Servant.

7. Foundation Training 10 days residential training Training out put AmbalaKarnalY.nagarTotal Expected No. 4113744201205 Trained171112155438 Sanjeevanies

8. Sanjeevanies- Today A voluntary worker Mobilize women of the village into groups Jagriti Mandali consisting of minimum of 20 women. Members of Jagriti Mandali - age above 18 years and have representation from every caste, class, creed, and religion. Widows, destitute, members of MMS and MSS are given preference Conducts one meeting per week and four meetings in a month to share knowledge on various health, social and legal issues Functions as a friend and guide to women groups and adolescent girls Maintains the records of each meeting and shares it with Swasthaya Kalyan Samiti of her area Maintains accounts of Jagriti Mandali

9. Lessons Learnt Very useful for information flow to the grass root level Supportive supervision by health personnel is essential Committed NGO trainers is the key for success 10 days to be increased but spread out over a year Impact of the program – midterm qualitative and quantitative evaluation necessary Long term process – mainly for change Some measurable goals to be spelt out

10. Transition to ASHA Lessons learnt from Sanjeevanies led to the plan of Sahyogi couples scheme- not translated into action Redefined as link workers Now ASHA

11. ASHA A married lady in the village, permanent resident & matriculate woman identified by Swasthya Kalyan Samities in 1000 population to mobilize pregnant mothers for institutional delivery and help in arranging emergency transport. do 3 postnatal visits on days 3,7 and 10 to promote care seeking Provide counseling on exclusive breast feeding and ensure immunisation 4-day induction training at PHC, followed by two days every quarter, continuing in the alternate month besides regular on the job training by the ANM

12. Estimated Monthly Compensation for ASHAS S.N O ActivityCase Load/month Compensation per case Compensation on total Case load 1.Ante Natal registration, 3 Ante natal checkups, 100 IFA Tablets and 2 TT injections, 3 Post Natal Checkups 2.02550 2.Facilitate mothers for institutional delivery 2.0100200 3.Provide essential newborn care, counseling on exclusive breast feeding 2.02550 4.Counsel the mothers for safe MTPs0.55025 5.Counsel the females for prevention and treatment of RTIs/STIs 6.0530 6.Ensure that the birth and death registration 3.01545 Total400 Rs. 100 per village will be distributed among ASHAs for mobilizing children for vaccination under strengthening of immunization program.