Presentation of Swabhimaan Midline findings in Odisha

ROSHNI-CWCSA presented programmatic findings to members of the Odisha Livelihoods Mission (OLM) in a day-long deliberation on the status of the Mission’s Swabhimaan programme.

Swabhimaan is a community-based programme that seeks to improve the health and nutrition status of women and adolescent girls in rural areas across three states— Bihar, Chhattisgarh and Odisha which have a high prevalence of under nutrition. Since 2017, a package of 18 nutri-sensitive and specific interventions have been delivered via the national rural livelihood mission’s (DAY-NRLM) women self-help group (SHG) federations. This is through a combination of community-led and systems actions that address adequacy of food consumed, prevent micronutrient deficiencies, improve access to basic health services with special care of nutritionally ‘at risk’ girls and women, improve hygiene and access to water, sanitation and family planning services. 
The programme in also a prospective non-randomised control trial being implemented in five intervention blocks across the three states, for which ROSHNI-CWCSA is a knowledge management unit.

The centre’s report found progress on specific aspects of systems and community led- actions. In 2018-19, services providers from Public Distribution Services (PDS), Integrated Child and development Services (ICDS) and Public Health & Engineering Departments had been oriented to ensure communities receive entitled services. It also found that that frontline services providers like (ANMs) were being trained to address bottlenecks in the Village Health Sanitation & Nutrition Day (VHSND). Convergence review meetings at district and block level, however, remain a challenge.

Amongst community led actions regular maitri baithaks or women’s meetings to discuss aspects of nutrition and diet diversity, home visits to women at-nutritional risk were being conducted. At-risk/ vulnerable households were also availing benefits of the Vulnerability Reduction Fund (VRF) as well as other agri-poultry schemes. Quarterly review and stock taking of the Integrated Poshan Micro-Plans had also taken place at the GLPF and block level. Biannual entitlement and health check-up camps however, were not held.

The findings were presented to OLM officials from Angul and Koraput districts, as well as representatives from various line departments. Programme specialists from UNICEF and International Institute for Population Sciences (IIPS) who undertook the midline evaluation of the programme also shared insights and made recommendations during the deliberations