Poster sure start isofi300610

ISOFI Integration to Sure Start Project (an initiative to improve maternal & newborn) CARE International India, Uttar Pradesh ,[object Object],[object Object],[object Object],Abstract: Integration of Gender and Sexuality in a maternal health program can bring incremental change in the health behaviours. Not only does this require intensive work with the communities but it requires to work with ourselves, our attitudes and our beliefs. Sure Start anchored a project on Maternal and Neo Natal Health and Inner Spaces Outer Faces Initiatives (ISOFI) integrated gender and sexuality in the case district in Sure Start coverage area. Background Maternal mortality is the highest burden for any country. For India, it is the biggest challenge as over 25% of all maternal and newborn deaths in the world take place in India, a burden far exceeding the country’s share of the global population. Sure Start was launched to catalyze sustainable improvements in maternal and newborn health through effective community action in two districts (Raebareli & Barabanki districts by CARE) of Uttar Pradesh, covering 5.5 million people living in 2 districts, 36 blocks and 1500 villages. ISOFI layered on Sure Start as case control operation research project. The case district received intervention through ISOFI in 100 villages covering 57, 000 population in 4 blocks of case district Barabanki ,[object Object],[object Object],[object Object],[object Object],Project Duration Sure Start: Project Duration ISOFI June 2006 to September 2011. May 2007- April 2009 for intervention May 2009- April 2010 for dissemination Strategy: Capacity Building, Reflective sessions with service providers and community, BCC strategy to address social norms around Gender and Sexuality, System Strengthening. Activities: Community Focused Approaches such as mothers committee meetings, Local governance meetings, Tweaking tools of Sure Start : mother’s committee meetings and VHSC to address Gender and Sexuality addressing social norms, couples meetings, new parents meetings, community theatre, puppet shows, magic shows, innovative games such as beads game, ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Conclusion ………. Achieving more equitable gender attitudes and behaviors is, of course, a desirable outcome as a step toward the goal of gender equality. In addition, layering simple, community-based gender-transformative interventions into a community health intervention can also provide incremental benefits with respect to desired MNH behaviors. By addressing gender inequalities through change in gender attitudes and behaviors, health programmes may be able to improve the quality of health outcomes and the efficiency by which those outcomes are achieved. Drying & Wrapping of newborn-a demo by MG member Engaging males- a letter from unborn child to expectant father Snakes & Ladders Game-a tool for educating mothers on Birth Preparedness Flash cards used during Mothers Committee meetings, couples meets and new parents meets A husband shares: “When my wife asked me to get her something, I would bring it separately for her. I would fill the water, wash my own vest and underwear, and she washed my pants and shirts. Even if I asked her not to wash them, she would not listen. Of course, I used to feel shy, as other members in the family would say that not only does he wash his own clothes, he washes his wife’s clothes, too!” According to One ANM , “I am touched by my own unequal treatment of the girl child. We prefer the boy child [over the girl child], even though men drink and treat us badly while girls take care of us. We need to appreciate our daughters.” Beads game to reduce stigma for women who give birth to girls children ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],District Barabanki District Raebareli Communication Household Empowerment IPC & Postpartum care 15% Level-3 Awareness & Advocacy 60% Level-1 Community Mobilization 40% Level-2 ASHA ANM AWW ,[object Object],[object Object],Checkups & Immunization Counseling & Nutrition Referral & Counseling ,[object Object],[object Object],[object Object],[object Object],Families of Pregnant Women & Newborns ,[object Object],[object Object],[object Object],System Strengthening

Poster sure start isofi300610

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Poster sure start isofi300610