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Khushali Sehat

Improving implementation of first 1000 days of life approach in Jhagadia block thereby improve nutrition status of mother and children

Khushali Sehat

Project Duration:1st November 2024 – 31st March 2027

Location: Jhagadia Block, Bharuch District, Gujarat (covering 152 villages)

Background

Khushali Sehat is an expansive initiative designed to strengthen maternal and child health services at the community level. Building on the success of the Khushali Sehat Programme implemented in 16 villages since October 2022, Phase 2 leverages in-depth gap assessments and community insights to expand support and training across Jhagadia Block.

In April-May 2024, Thinkthrough Consulting Pvt. Ltd. (TTC).TTC conducted a comprehensive gap assessment to evaluate the impact of the initial programme. The findings revealed critical shortcomings in health and nutrition  trainings of frontline workers , prompting a strategic plan for a broader and more integrated approach. This phase aims to enhance community health , joint trainings of Anganwadi workers and ASHAs workers by focusing on the first 1000 days of life—a critical period for maternal and child wellbeing.

Key Objectives

  • Capacity Building: Enhance the knowledge and skills of frontline health workers—ASHAs, AWWs, and ANMs—through targeted training on the first 1000 days of life approach, complemented by ongoing mentoring support.
  • Strengthening Supervision: Improve the monitoring capabilities of health and ICDS supervisors to ensure effective implementation of maternal and child health practices at the village level.

Core Activities

  • Training and Assessment:
    • Conduct training needs assessments for AWWs, ASHAs, and ANMs.
    • Develop and implement joint training sessions for health and ICDS supervisors focused on supportive supervision.
    • Create comprehensive training modules for frontline workers.
  • Information and Education:
    • Develop and disseminate IEC materials centered on the first 1000 days of life approach.
    • Design a 14-day educational schedule for parents during their stay at the Child Malnutrition Treatment Centers (CMTC).
  • Infrastructure and Linkages:
    • Establish Model Mini-Nutrition Centers at Anganwadi Centers in five villages.
    • Forge linkages with Mobile Health Units (MHU) to provide specialized support for high-risk pregnancies.
  • Monitoring and Collaboration:
    • Organize quarterly meetings with ICDS and health department officials at the block level to review progress, share results, and address emerging challenges.

Expected Outcomes

  • Enhanced Knowledge: Increase the percentage of frontline workers with accurate and comprehensive knowledge of essential maternal and child health practices.
  • Improved Competencies: Strengthen the core competencies and performance of ASHAs, AWWs, and ANMs, leading to better service delivery.
  • Impact on Community Health: Drive significant improvements in maternal and child health service delivery during the critical first 1000 days of life, fostering long-term community wellbeing.

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