A proposal submitted by Jan Swasthya Sahyog, Bilaspur to AID USA CSH, June 10, 2012 Chapters involved : Boston, Dallas, Cincinnati, Duke Funding Source : Grant from Peter White (CEO, JFW Company)

Three tier health care 53 villages, people, 80% inaccessible Weekly visits people, 1500 villages, out of state patients Patient Care Ante-natal care Child Nutrition Education Infectious diseases Agriculture Animal Health Technology Advocacy

Under-3 child (mal)-nutrition in India Poverty and high cost of foodgrains Delayed introduction of complementary feeding Misconceptions of quantity and composition of diet for young children Absence of adults to feed children 5-6 times a day Repeated illnesses Reasons India is home to the largest number and proportion of undernourished children Third National Family Health Survey -46% under-3 underweight -38% stunted -20% wasted Consequences Increased child mortality Decreased mental and physical development Decreased working capacity. Poverty trap

The JSS Crèche (Phulwari) program Present : 72 crèches with 977 children (Jan 2012) Run by women volunteers of the village (1 woman/ 10 children) 5 years Objective – To provide a safe, secure and stimulating environment for infants (6 months – 3 yr) when their parents are out for work – To improve health by providing 70% of daily nutritional requirements – To help older siblings return to school Cinncinati, Dallas, Baton Rouge, Chicago, Bay Area,, Chicago, Kansas AID funds ~ 18 lakh

Impact of JSS’s three-tier healthcare system on IMR

% wasted % wasted Distribution of wasted (low weight for corresponding height) children

Proposal Overview Funds to run the full crèche program for children for a year (June 2012-May 2013) *If voted, funds would be requested from Peter White (CEO JFW Company, Framingham) who has promised generous support to JSS thanks to the efforts of George Oommen and Jonathan Fine Primary changes from previous years: % increase in size 2.Inclusion of child stimulation and intellectual development activities 3.Increase in wages of workers from 1500 p.m. to 2600 p.m. 4.Food inflation 5.Rental of dedicated Phulwari space in the village 6.Government involvement

Budget ItemCost (Rs.) for 10 children/month Cost (Rs.) for 10 children/year Food Cost (Recurring) Other cost (Recurring) Yearly (Non- Recurring) Total66520 Cost for 1100 children : Rs. 73,17,200 Amount Requested : Rs. 58,17,200 (106,740 Rs 54.5 per USD) Period : June 2012 – May 2013

Concerns raised in the previous meeting What justifies the nearly 50% increase in budget? What about other donors (AJWS, SPAEF, Oxfam)? Is JSS going to lose them? Is AID (esp. oxfam) ready to take on such a big project?

Vote : AID Boston approves the request to Peter White of USD 107,000 towards supporting JSS on its Phulwari program for the period June 2012 – May The project will jointly be supported by AID Boston, AID Dallas, AID Duke and AID Cincinnati. Other AID chapters : Dallas : USD 6000 (Approved) Duke : USD 1500 (Approved) Cincinnati : USD 6000 (Awaiting) Balance = 107,000 – = USD 93500