The goal of this sample proposal is to improve the availability and access to quality health care of the people, especially for those residing in rural areas, the poor, women and children. If you want to develop your own proposal on this particular subject come and explore this proposal completely. The project includes many objectives like providing health services both at curative and preventive treatment to the community, promote good health practices and positive health and disseminate information on health seeking behaviour through awareness campaigns to achieve goal of the project. If women and children’s health being your concern this project surely help you.
Executive Summary
ABC is a Non-Government Organization proposes to implement health facility programme for the quality health of underprivileged rural community specially women & children through establishing health centers in these areas with the help of donor which will covering ten villages and a population of around 30000 in two projects districts.
The project 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 and health center 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 and the rural communities have to travel long distances for the basic health requirements.
The project duration will be for 3 years and proposes to establish 8 health Centres in 10 villages covering the total population of 30000 as the average family size in these project villages is 6 members.
The Project will be implemented in 3 phases:
- 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 health centers, recruitment of staff etc 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 District, Block and grass root level health functionaries. During the execution Phase, the health center/clinics will be established. Treatment will be provided by qualified doctor wherein dispenser would be providing the medicines. Health services will be made available at each health center on 3 days a week with 8 hours of operation on daily basis. Thus one full time team will serve the community through 2 Health Centers.
Community Health worker will work in close collaboration with medical team of organization and grass 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.
Project will have a system of routine monitoring from monitoring the clinics by visiting the Centre and to review the program progress on monthly, quarterly and annual basis based on the performance and impact indicators.
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.
Project Objectives:
- To provide health services both at curative and preventive treatment to the community.
- To provide accessible health facilities to the deprived community.
- To promote good health practices and positive health seeking behaviors through health education sessions, generating health awareness among women & adolescents e.g importance of 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 care institution for referral services and specialized treatment.
- To provide counseling by the doctor and staff on the adoption of good health practices in nutrition, health, hygienic and sanitation.
Area 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 with caste and gender dimensions pose a challenge towards ensuring health for all especially the women and 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 project villages none of village has a PHC or sub-center 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.
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 of religious 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 state 46.6 % of villages have sub-center within the village itself and 90.6 % of the villages are within 5 km distance from the sub-center. Only 12.9 % of the villages have a government dispensary within the village and 12.6% have primary Health Centers.
Execution/Implementation Plan (With Specific Time Frame)
Project 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 have special 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 a large degree on individual’s ability to access health care services. To counter this and to meet community demands for accessible & affordable services ABC proposes to run 8 health centers catering to the population of 30000 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)
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 counselled 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 counselled for institutional delivery
- No. of anemic cases identified and counselled
- No. of adolescents counselled
- No of group meetings conducted with the target group
- No. of target group exposed through these group meetings
- No. of cases referred to higher health centers.
- 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
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 counselled on Health ,Nutrition & hygiene
Child 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.
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
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 the capacity 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 the patients visiting the Health Centre. The fund will be jointly held by the VHC and ABC organization. This will be utilized to add quality to the center and later on invested in supporting health facility in the village.
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 the service 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 an 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 the center. This will ensure the sustainability and growth of the Health Center.
