Grantee Organization:       Sairam Health Care Charitable Trust

Opportunity Name:            Maternal & Child Health Care Services in Nanded 2018 Grant   Fund Name:                      CIGNA Foundation Fund   Gift Amount:                      $45,000


Improving Maternal & Child Health [MCH] in the far unreached areas through Health Clinics & Family Life Education in SchooL


1 Name of the organization SHCCT


3 Address of Head Office/ Registered Office SUNIL NAGAR BALIRAMPUR NEW NANDED
4 Legal Status of the organization Trust deed Registration No-E-272 dated 05/07/2008

FCRA Registration no 083890082 dated 28/08/2012

5 E-mail Id
6 Telephone No. 2462202272,mob-9326107544
7 Contact Person Dr sanjay rathod president
8 Title of the Program Improving Maternal & Child Health in the far unreached areas through Health clinics & family Life Education in schools
9 Location of intervention 10 selected villages of Distt nanded of Maharashtra
10 Amount of Funding requested for a 1 year 1st Feb 2013 – Jan 14
11 Period of Funding  one year
12 Brief description of Organization Shcct  is a non – government, development  organization working  in the field of health, community development, women empowerment, entrepreneurship building, education, vocational training and advocacy in Maharashtra since 2008


Various          health                      programs implemented by Shcct  are , General Health Camps , Multi diagnostic Health camps , Intervention for Reproductive & Child Health , Anemia eradication program for adolescents , school health check-up program , physiotherapy unit and  through  Sehat centre to cover the population of rural areas & urban slums.

13 Organization’s expertise for implementation of proposed project Details mentioned in Annexure “A”



Proposal on Maternal & Child Health care through clinics –



Sairam health care charitable trust a non govt development organization proposes to implement health programme titled “ Mother & Child Health Care through Health clinics” in collaboration with DAP covering 25 villages and a population of 45000 of Distt NANDED  Distt    of Maharashtra.The selection of Nanded dist. was done keeping in mind the socio- demographically backward districts with lower status of women in the country which are priority areas for implementing the Maternal and Child health interventions for the organization.

Project duration will be for 2 years. Project proposes to conduct 20 health clinics in the entire Project Period treating 100000 patients focusing target beneficiaries of women ( 15- 49 years ) , children ( under 6 years ) & adolescents . First 2 months will be devoted for selection of villages, rapport building with community members, collecting base data and recruitment & orientation of staff .

Services provided through these clinics will be Primary Health check-ups, Antenatal & Post natal care, treatment of RTI & STI & counseling on RCH/MCH, Anemia, and Nutrition &Hygiene and importance of taking full course of medicines. Mainly 4 tests will be conducted i.e Hemoglobin test , blood group test , pregnancy test& blood sugar test. IEC exhibition will also be organized on the day of visit.

Family Life Education will be provided to adolescents girls & boys in the age group of 13- 19 years . This education will be provided through middle and secondary schools in the Project areas

Linkages and network will be established by the project for better co-ordination with local stakeholders and Distt & Block level health officials as well as for developing referral mechanisms. These clinics will be organized with Health Deptt’s routine immunization day in order to ensure maximum coverage.

Project will have a system of routine monitoring from monitoring the camp activity on  the day of visit to review the program progress on monthly, quarterly and annual basis based on the performance and impact indicators.



  • The programmer seeks to improve the health status of women and

children through improved access and quality Reproductive and Child Health services with focused attention to the most vulnerable sections of the society.



Proposal on Maternal & Child Health care through clinics –


  • To promote the Positive health seeking behavior among community particularly in the age group of 15-49




  • To improve the status of Ante Natal Check-ups , Post Natal Check-ups and promote institutional deliveries amongst target group
  • To treat 96000 patients in 20 villages of Distt of NANDED who have limited  access to health services
  • To educate approx 10000 adolescent girls and boys through Family Life education in Middle and secondary schools in project areas


  1. TARGETTED GROUP(S) OF THE PROJECT: Women & Adolescents (15-49 age group) & children ( 0-6 years )




Distt NANDED of Maharashtra  Following are the    details of proposed project location.


The area for intervention for the proposed program  is to cover 10 villages , 5 villages in North  block, 5 villages in south  block  of  Distt nanded , covering a population of approx 45000 .The focus of the project would be on addressing women in the age group of 15-49 years and children below 6 years as the core beneficiaries of the programme with health clinics services along with Networking & convergence with Government systems and provisions supplemented with Behavior change communication.


Project Area / Village Profile –


Proposal on Maternal & Child Health care through clinic



Block – nanded



Block –


S.No Name of Village Population [Approx.] No of BPL


No of AWC
1 Sangvi 3,500 128 4
2 throda 1500 94 1
3 jamrrul 1500 75 2
4 asrjan 1500 2






visnupuri 3000 100 2

general+1 SC





South nanded



  1 wajegoin 10000 3500 5
2 balirampur 15000 7000 10


tuppa 45000 3400 5
4 kakandi 3000 2400 4
5 Jawhar nagar 4500 2500 6



Distance from nanded


Name of the block Distance in Kms
North Block 20 Kms
South  Block 50 Kms

Proposal on Maternal & Child Health care through clinics –






  • Area Selection and Rationale of Distt NANDED – The selection of NANDED district was done keeping in mind the socio-demographically backward districts in the country which are priority areas for implementing the Maternal and Child health interventions for the organization. amongst the backward districts of NANDED based on the Socio Demographic Development Index (SDDI) ranking. The ranking is based on the variables from two main groups – Census (Social Development Index) and Reproductive and Child Health Indicators (Reproductive and Child Health Index). NANDED has its genesis in its tribal inhabitants, the Meo tribals, who are agriculturalists. Muslim dominated community with a distinct ethnic and socio-cultural tract. The female literacy rate for the area is only 24 percent with a large family size of 5-10 members per The

females have poor status in the family. Men are the decision makers and pose a great resistance to change. The following table gives a snapshot of the key maternal child health indicators in the region


Mothers who had at least 3 Ante-Natal care visits during the last pregnancy (%) 16.4 51.9 50.7
Institutional births (%) 14.8 46.9 40.7
Delivery  at  home  assisted  by  a  doctor/nurse

/LHV/ANM (%)

1.7 12.1
Child Health
Children (12-23 months) fully immunized (BCG, 3 doses each of DPT and polio and one dose of Measles) (%) 12.2 63.6 44


Health Indicators Table -1 Maternal Health-

  • Condition of women in NANDED – The poor health means lesser life expectancy for people in the region. The life expectancy for women is lesser than for males. This is because women have a more difficult life than men. The average age of women getting married in this area is 13. They have their first child by 14 or 15. An average woman in NANDED will have around 6-7 pregnancies. Abortion or use of contraceptives is not welcome by the By the time a woman reaches middle age, her health is in shambles because of unusually high number of pregnancies and their impact on the body.


Proposal on Maternal & Child Health care through clinics –


A pregnant woman is not given any special diet. Also after the delivery, child and  mother are kept in a dark room for few day

  • Economy: The main occupation of the people of NANDED is agriculture and allied and agro-based activities. The SLUM are the predominant population group and are completely agriculturists. They perceive themselves as such, with a sense of pride. The agriculture in NANDED is mostly rain fed except in small pockets where canal irrigation is available. Agriculture production measured in terms of crop yield per hectare in NANDED is comparatively low to the other districts of the State. Animal husbandry, particularlydair



  • Project period :

Duration of the programme will be 3 years. A period of 3 YEARS  is essential for systematic work on capacity building of staff, approach, rapport building & meetings in the villages, treatment of ailments & its follow –up, observations, documentation & recommendations etc.

Proposal on Maternal & Child Health care through clinics

  • Better accessibilty through health services in Distt NANDED A team of 7 people comprising with 2 Doctors, Project Manager & 2 Social Workers, lab technician & a pharmacist will move together to the identified and 10 selected villages of Distt NANDED , in order to provide services of healthcare to the women and children of rural areas where such facilities are inaccessible. These teams will move from SHCCT
  • Selection criteria of villages in Distt – Population strong enough to treat 96000 patients in a calendar year. Provide services to the rural communities where the health awareness & access to the health service is very
  • Clinic Rotation: 10 such clinics will be organized every month covering 10 villages, thus entire project location will be reached in 2 months. Each project village will have a rotation period of 2 months. It will be equipped with medicines and other necessary equipments required for conducting tests of women, pregnant women and
  • Counseling: After the check-ups the patients will be provided with medicines as per their diagnosis. Counseling will be done by the social worker for the anemic cases (women & adolescents) identified through blood tests, counseling of parents of those children found undernourished and non- immunized and counseling of pregnant women and its family members to promote institutional delivery & counseling of women on personal hygiene & sanitation .

The rural people usually do not have the knowledge of medicines/ antibiotics to be taken in precise timings and in full course. Counseling will also be done for taking the full dose of the medicines as per the prescription. In which he /she will inform patients about the side effects if they do not take full dose of medicines. Counseling will be provided to the patient and their caretakers/ family members on individual basis for diagnosis made the treatment they are getting and what they need to do for being cured.

  • Clinic timings and target: Clinic will be operational for 4 hrs where 2 doctors will diagnose and make prescriptions. 10 clinics will be organized in a month thus 96 such clinics will be organized in one year. Since there will be 2 Doctors with 4 hours of operation assuming that one doctor will spend 5 minutes with the patient , considering this fact 1 Doctor will be able to treat 48 patients maximum 50 patients in a visit thus treating 100 patients by team of 2 Doctors in a visit . The target will be to treat 9600 patients in a year,

Proposal on Maternal & Child Health care through clinics –

Since clinics will be organized on the routine immunization day, it will be conducted at Aanganwadi centre or at village  in order to ensure maximum coverage.


         Health Service Package

  • Primary health checks ups of women and children. Diagnosis & Treatment of focused beneficiaries group of women [15 to 49] and children under the age of 6 years.
  • Ante natal check ups/care
  • Post natal care of mother and new born baby
  • Treatment of RTI’s/ STI’s
  • Counseling services on RCH/MCH, Anemia, and Nutrition &Hygiene and importance of taking full course of

Following laboratory test may be done by the lab technician under the supervision & prescription of the Doctor.


  • Hemoglobin test
  • Blood group test
  • Pregnancy test
  • Blood sugar test
  • Blood pressure
  • Weighing


         Family Life Education


  • Promoting Girl child and imparting Family Life Education among adolescents through School health sessions. The project team will coordinate with middle and senior secondary school authorities in the project implementation area and conduct regular health sessions at schools on FLE and reproductive health aspects for Adolescent groups [girls & boys] in the age group of 13 to 19


Total 900 adolescents will be oriented & educated on FLE and reproductive health aspects in the entire intervention area in the given period covering 16 schools of Project areas .


  • Promoting Girl Child /Educating Adolescents on Reproductive health aspects and Family Life education [FLE] through School Health Sessions : Health sessions will be conducted at schools by Project team for adolescent’s girls and boys for promoting gender sensitivity and reproductive health knowledge among



Proposal on Maternal & Child Health care through clinics –


The mappings of schools [Middle and senior secondary] will be done and after ensuring strong coordination and Liaoning with school authorities /education department ,a roaster of session will be developed and sessions will be designed and planned accordingly.



     Involvement of various stakeholders in the programme (Govt functionaries like health , ICDS , Education Deptt , Community like Panchayati Raj Institutions & NGO’s)


5.9.1 Linkages & Network: Better planning and coordination with the local stakeholders can make future programmes more successful which will ultimately contribute to the better health, economic empowerment, peace and harmony among the people


The Health clinic services will be organized in close coordination and planning with concern PHCs in order to increase the engagement of government health system and for the convergence.


The Health clinics would be organized with Health department’s routine Immunization [RI] schedule in order to ensure the maximum coverage of the village and targeted group. The health and ICDS departments would be actively involved in rendering the Health services. Efforts will be to implement the program in close collaboration and involvement of Distt Health Officials


Involvement of Aanganwadi workers, Accredited Social Health Activist ( ASHA )and Auxiliary Nurse Midwife (ANM’s) for constant follow-up and community mobilization  at the grassroot level. Involvement of Panchayat Raj Institutions and other influential members for greater involvement of the community.


  • Awareness sessions/ IEC exhibition: Awareness sessions will be organized by the Social worker during each visit, he/ she will conduct 8 such awareness sessions in a month .Topics for group sessions will be developed by the Project on rotation basis to cover all the thematic areas related to Community health and Mother & Child Health. IEC materials procured from Govt Health Departments will be exhibited during these clinics .There will be a separate counter on which various health messages, pamphlets, banners & posters will be displayed & distributed. Pre-publicity of the clinic will be done one hour prior to the clinic though local stakeholders and through grassroot level health workers like ASHA’s or Aanganwadi

Proposal on Maternal & Child Health care through clinics –

  1. 11 Orientation & Capacity Building of staff : 2 training programs will be conducted in a year for all the staff members involved in the Project

5.12 Setting up of Project office at Project Area : A Project office will be established  at the location where the project areas can be easily accessed in order to ensure smooth execution of project /field activities. The project team [Project co-ordinator and field supervisors] will be placed at project office; therefore it is not viable to operationalize the project from SHCCT main office.The team from SHCCT will regularly visit the field area and monitor the project activities /progress.




Health services through clinics will be a series of co-coordinated efforts with strong elements of monitoring at different levels


            Monitoring mechanism


Under the supervision and guidance of Director Programmes , the Project will be executed by Project Co-ordinator and will be responsible for project implementation and ensure involvement of various stakeholders for project execution and planning of activities. He will also accompany the team during visits A programmatic and financial review of the project will be done on monthly basis.


A Detailed Implementation Plan for the project will be drawn up. Project co-ordinator  will monitor the programme in the field very closely through Health camp visits, Follow up Visits, review meetings. Monitoring formats/Health  will be developed for monthly progress of physical and financial activities.


Quarterly reviews will be conducted at SHCCT to monitor the progress of the project, to know the program effectiveness, impact, project process monitoring and documentation, identifying the best practices and future roles in the changing context.


Quarterly report will be submitted to Power Grid along with the quarterly data.



  • Monthly progress report
  • Quarterly Progress report
  • Quarterly Expenditure report
  • Health camp report
  • Group session report


Proposal on Maternal & Child Health care through clinics –




  • Counseling report
  • Monthly HMIS ( Health Management Information System)
  • Documentation of best practices
  • Documentation of case studies / success stories
  • Patient records




Following staff is proposed for Project activities


  • Director Programs 2) Project co-ordinator 3,4,5 ) 4 Supervisor 6,7 ) 2 Doctors 6) Pharmacist 7) Lab Technician 7) Accountant


Program will be implemented under the overall supervision & guidance of Director Programs


There be a  Project co-ordinator , 4 Supervisors  ( 1 Supervisor  will be responsible for  the population of 10000) , Master in Social work or having the equivalent degree will be responsible  in the office ensuring all the records and documents of his her respective  area , patients follow up      and coordinate with field level staffs, Govt Service providers

e.g. AWW, ASHA & ANM and will also work as linkage between Organization and Community, in order to involve community stakeholders, PRI etc at village level. During clinic hours, he/she will counsel the patients and maintain counseling documents. S/He will also make visits to the villages where camps have already been organized. During his visits, he will be doing follow-up with referral patients involving grassroot level health functionaries, collect necessary data from them in order to know the impact on certain health indicators and monitor the quality of services. The Social Worker will validate the monthly data. Apart from counseling, she/ he will also conduct group sessions during Health camps


Documentation of all the activities will be done by Supervisor  and Project   Co-ordinator

.In this way 67% of total time will be spent in the Project Area by Project Co-ordinator and Supervisor. 33 % of time will be spent in the office for data compilation and documentation of case studies learnings, generating monthly reports etc. The above mentioned calculations according to the 24 working days , out of which 16 days will be devoted in the field and 8 days in the office for planning and documentation .


Since there will be frequent movements in the field by the staff appointed for the particular project and documentation of the same are required in timely manner , thus there is a need of laptops for Project Staff


Proposal on Maternal & Child Health care through clinics –






Visibility to the donor on this project will be provided through following means:


(a)  All the IEC materials, like, pamphlets, posters, banners etc. will prominently carry  the name of the donor in them, acknowledging the contribution of the donor.


  1. Any banner put-up by SHCCT at public meetings in villages, or in trainings that it conducts or any gathering anywhere related to the project will carry the name of the donor.


  1. A small documentary of program will be made




  • Indicators of Program Progress
  • of clinics/camps conducted
  • Hours of clinic operation
  • of patients treated
  • No of targeted group reached out during clinic/camp
  • of RTI/STI cases identified & treated
  • cases counseled for STI’s
  • of pregnant women received services
  • of women treated ( 15-49 years )
  • of children treated ( 0-6 years )
  • of pregnant women counseled for institutional delivery
  • of anemic cases identified and counseled
  • of adolescents counseled
  • No of group meetings conducted with the target group
  • of target group exposed through these group meetings
  • of cases referred to health deptt.
  • of cases referred to ICDS department
  • No of cases referred to NGOs for sponsorship
  • of meetings organized with different stakeholders (Govt,(Health & education)

,PRI, AWW, Asha etc.

  • No of FLE sessions conducted in the schools
  • of adolescents provided with FLE ( Boys and girls )


                Impact Indicators Mother’s Health

  • % pregnant women registered within 12 weeks of
  • % Pregnant women with complete ANC (3 ANCs + 2 TTS + 100 IFA)
  • % Pregnant women who had institutional delivery
  • % women who received post-natal care
  • % women counseled 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
  • % Children exclusively breast fed
  • % Children fed on colostrums
  • % Women aware about 3 major danger signs of ARI and
  • % Children
  • % children received health check ups
  • % of mother/Parents counseled on Child health



  • Access to MCH services provided as per needs of the
  • 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
  • Community empowerment and ownership for the programme
  • Increased immunization coverage
  • Improved status of ANC, PNC and Institutional deliveries
  • Improved immunization status of children aged 0-1 year


Proposal on Maternal & Child Health care through clinics


10  .Budget


Budget of for the Project titled ” Improving Mother & Child health through specialised Health clinics in far reached

Budget for 1 year






Unit Cost


One year Budget

A Human Resource
A.1 Director Programs ( Part


A.2 Project Co-ordinator
A.3 Supervisor [4]
A.4 Accountant
A.5 Doctor[2] @2000 Per clinic
A.6 Pharmacist [1]@1000 Per clinic



Lab technician[1]@1000 Per clinic
Volunteers ( 2 per clinic )
Subtotal (A)  
B Transportation Cost
B.1 Transportation Cost  


Subtotal (B)  
C Operating Cost ( Service delivery)
C.1 Medicine & equipment required per health clinic  


C.2 Refreshment (Lumpsum per clinic)  


Sub total  ( C ) 7,68,000.00
D Information Education & communications



Information Education & communication designing and printing , Wall writings ,Doctor’s Kit, prescription pad, Health report cards etc (lumpsum)  







Subtotal (D)  
E Capacity building

Proposal on Maternal & Child Health care through clinics –




Training on Mother & Child health and Family Life Education 2 trainings
E,2 Refresher trainings
Sub Total (E)  
F Community Involvement



Community meeting

Sub Total  
H Administration Cost
G.1 Office set up cost
G.2 Office rent
G.3 Stationary
G.4 Communication
G.5 Audit fee
Sub Total (E)  
Total (A+B+C+D+E+F+G+H)  
I Admin overhead



Part charges for electricity , water charges, internet, landline telephone , office ancillary staff etc                             10% of

Total Budget


Grand Total







  • SHCCT with relevant domain knowledge and expertise:- SHCCT guided by its motto “ Better Health – Better Society” has been implementing health program in the slums and villages of The organization during its initial stages focused on curative health by providing health services to the needy. However, with time it has evolved and is currently implementing broad based health interventions taking on board socio-economic disparities and gender inequalities impacting accessibility to health. SHCCT has an experience of working on the grass root level on various health related issues especially in the areas of community health care and reproductive health issues. The scope of our activities include direct service delivery, preventive health interventions focusing on awareness generation and behavioral change communication along with advocacy with other stakeholder groups towards strengthening the existing health system. Some of the salient health programs implemented by the organization are as follows

Proposal on Maternal & Child Health care through clinics


  • Intervention focusing on Assessment, Prevention and Control of iron deficiency anaemia.Under the reproductive health program, a pilot project was implemented to reduce the prevalence of anaemia among pregnant women, lactating mothers and adolescents.. The project focused primarily on behavioral change communication to effectively motivate target group comprising primarily of those at high risk to adopt healthy practices to reduce the risk of anaemia. This involved promotion of knowledge, encouraging the adoption of appropriate healthy practices and making provision of needed health products and services at the community level for anaemia reduction.
  • Promoting Rural Health through Mobile Diagnostic Services: SHCCT has been organizing mobile diagnostic camps to provide primary health care services in unreached and under-reached villages since 2008.The objective of the clinic is to provide primary health care services including both curative and preventive components through provision of timely screening, diagnosis and treatment on the one hand and awareness generation and counseling on the other to ensure holistic health and well- being. Through these camps referral services are provided to those in need of specialized medical


  • SHCCT Center & Health Camps The organization was engaged in providing five days OPD services in village BALIRAMPUR with the support of Charities. The idea is to provide basic health care services to community deprived of basic health needs. Through the OPD health services at both preventive and curative levels are provided. This includes timely detection, medical help and referral along with support services in the form of counseling and health awareness


The organization has expertise in implementing similar intervention in village  The project  is being successfully implemented with the help of consulting organization  and the donor Incentive Foundation. The project has benefited more than 5000 beneficiaries of the area during the execution period and succeeds in motivating community to adopt and practice preventive health care facilities. The OPD center is


Proposal on Maternal & Child Health care through clinics –


continuously meeting the basic need of the society where, there is no availability of the adequate health facilities and the nearest Govt, Hospital is at the distance of 25 kms from the village and due to expensive services of private hospital that is not at all affordable  for the community.


SHCCT  centre at village Tuppa is providing preventive and curative services to particularly address the needs of the poor and economically backward segments of the population. Clinic location has been suitably identified in order to have maximum coverage. Team of qualified Medical Practitioner and Dispenser are providing health services in rural areas of Distt Nanded. Linkages have been established with govt program at the grassroot level by involving ANM and Aanganwadi worker


Co-ordination between clinic staff and outreach services have been established, which is  a step towards linkages with outreach activities and an effort to actively develop communication links between the staff and the community for increasing community involvement . Project has the system of regular patients follow –up which is done by the grassroot level workers who are in constant touch with the Medical Officer. Shcct has treated approx 5500 patients through these SHCCT Centres.

For effective involvement of the community, committee has been formed at the local level with the objective to involve the community in program planning and its effective implementation as well as increase male participation in the program. The members selected for the committee are from diverse background like people from Panchayat Raj


Institutions, influential people from villages, Asha worker, Aanganwai worker, ANM, SHG members and Community Health Worker from Shcct Community Health  Worker has already started developing the contacts with Panchayat members, and with the community whom she visits. There is no consultation fee, medicines are provided free of cost, a small amount of user fee is collected. SHCCT centre are maintaining adequate stock of essential drugs required for the treatment of rural population.



The key project activities include activation of village health committees (like village health and sanitation committee), training of Community Health workers( CHWs) / accredited social health activist (ASHAs) and establishing community based distribution mechanism, training of dais for increasing access to safe delivery, and provisioning of health services through mobile van.



Proposal on Maternal & Child Health care through clinics –



  • Advocacy: Advocacy is a crucial aspect of the organization to promote good health. Shcct pursues IEC campaign, audio-visual aids, street plays, and workshops to advocate the right based approach on health related issues like child health, maternal The organization has developed village level committees and team of volunteers to work on the issue.
  • NGO suitability given the rapport and local connect with people and communities:- the efficiency of any social development intervention is depend on the capacity, knowledge, skill and attitude of its implementers and beneficiaries. The organization has a hand on experience and Liasioning and developing tie-ups and collaboration with community stakeholders, government machinery and like minded organizations. This will not only help in effective implementation but also ensure sustainability of the


The NGO also has a relative advantage in term of first hand understanding of complex social realities. It also shares a rapport and personnel touch with local communities that ultimately help in getting community support, participation and acceptance of community based social intervention.


  • Familiarity with area having working in nanded- the organization has experience and understanding of socio-economic situation existing in state. Being an experienced organization of 10 years it is well awared of cultural prejudices and social constraints directly linked with socio-economic conditions




Proposal on Maternal & Child Health care through clinics – SHCCT














































































Proposal on Maternal & Child Health care through clinics – POWER GRID