APRIL, 2019 / / ISSUE NUMBER-01/2019

Liasioning with the State Governments

IN THIS ISSUE:SWACHCHHATA KIT ANSHika CORNER SOAP BANK

ANSHika Samachar2nd phase of height & weight measurement is over

ADOLESCENT HEALTH DAY (AHD) CELEBRATION

ADOLESCENT HEALTH DAY (AHD) CELEBRATION

MEETING WITH STATE GOVERNMENT OFFICIAL.

Adolescent Health Day in force.Adolescent Health Day (AHD) is scheduled to be organized once in every 6 months. However, ANSH team in four project sites (Bahraich, Gaya, Barpeta and Vidisha) advocated for more frequent AHDs in the project blocks and initiated organizing AHDs on monthly basis at various PHCs in the ANSH blocks. In the AHDs, adolescents are encouraged to discuss their health issues and are being counselled by the AFHC counsellor. WIFS among adolescents and Sanitary pads among adolescent girls are also being distributed

Networking and liaison with State Governments and different Ministries was the first step done by the project team towards laying the foundation of the project. Project Coordinator and MD, JSI met the key Govt. Stakeholders to share the details of the implementation plan and receive the Govt. approval for implementing the project in the defined areas. Receipt of letters of support from Government has been great help to initiate and continue the implementation

State RKSK Unit in Uttar Pradesh and Bihar nominated ANSH team as State Technical Resource Group member and also State Trainers for “WIFS Training & Adolescent Friendly Health Services” in the states.

ANSH state leads, who have been invited by the State Governments to participate in various Govt. forums on nutrition, health and WASH related aspects are also playing the important role of master trainers in various training sessions for the Govt. Officials on nutrition and WASH.

ANSH has been closely working with State Govt. on strengthening the government supported RKSK program in UP and Bihar and helped the State Govt. in streamlining the supply chain management of WIFS and NDD in ANSH states.

ANSH team had performed a gap assessment of the AFHC and then supported the AFHC counsellor to address those gaps with the support of block and district health officials.

APRIL, 2019 / / ISSUE NUMBER-01/2019 ANSH

KEYWORD

Intervention at schools Involvement of teachers & parents

Swasthya Evam Swachhta Kit (Medical Kit) for the school students contains materials like soap, nail cutter, bandage band aid, Dettol antiseptic, cotton and Kit box.

“Soap Bank” is an initiative by ANSH Project in selected schools under project intervention area to improve the sanitation practices among the school going adolescents. Soap Bank is a wooden box with the branding and messages related to sanitation. Anyone who is interested can donate one or many soaps in this bank

Growth Monitoring Chart for Adolescents for self-assessment of BMI has been distributed by ANSH team to Peer Leaders and Nodal Teachers to trained adolescents on self-assessment of BMI through growth chart.

“ANSHika” is the Brand Ambassador for ANSH project. ANSH team has conceptualized a character ANSHika inspired from the project name ANSH. ANSHika, through story board, animated videos and posters will share the information in local languages.

Social Media platform (facebook page, linked in page, twitter handle) is being widely used by the ANSH communication teams to share the programme update, best practices and stories from the field. ANSH has blog stories on the relevant activities available at https://anshpushti.wordpress.com/. ANSH project glimpse can also be found in its official

Youtube channel:

https://www.youtube.com/channel/ UCWIpalGrxClxluoPEKc56IA/.

ANSH state team members trained Nodal Teachers in their respective project districts on anaemia, WIFS, RKSK, adolescent nutrition and WASH related issues.

Various initiatives like Soap Bank, Swasthya Evam Swachhta Kit and parents’- teachers’ meeting on monthly basis, have been introduced at ANSH intervention schools to improve the Nutrition and WASH practices in the schools under ANSH intervention areas.

HAND WASHING SESSION IN A SCHOOL IN BARPETA, ASSAM

AWARENESS SESSION FOR THE ADOLESCENTS IN A SCHOOL

ADOLESCENTS IN A SCHOOL WITH ANSH INFORMATION BULLETIN

KEYWORD

Innovations inANSH

APRIL, 2019 / / ISSUE NUMBER-01/2019 ANSH

KEYWORD

KEYWORD

Intervention at Community Level

Celebration of National Nutrition Month

Situational Assessment Study in Bahraich and Gaya aims to provide a holistic picture of the issues facing adolescent health and well-being in the two districts. The objective of research was to collect detailed information on basic, underlying and immediate factors that affect adolescent health, nutrition and wellbeing. 200 school going adolescents and 100 non-school going adolescents and key stakeholders took part in the study. The result showed that the intake of fast food among the adolescents is very high, however understanding about the balance diet is very low among the interviewed adolescents.

Celebration of National Nutrition Week and Month under the National Nutrition Mission. Various programmes were organized by the department of Women and Child Development with other departments to spread broad awareness on the issues related to malnutrition. ANSH state teams assisted the Govt. in organizing the events at block level. Along with that, ANSH state teams also organized Awareness Stalls, Suposhan Swasthya Rally, Poshan Aap Ke Dwaar (Home Visits) campaign with the community, Suposhan Swasthya Mela, Health Camps for school going adolescents, Adolescent Group meeting on nutrition, WASH and health related issues and wall writing

MS. ANUPAMA JAISWAL, HON’BLE MINISTER OF STATE, BAL VIKAS SEWA EVAM PUSHT AAHAR, GOVERNMENT OF UTTAR PRADESH INAUGURATED THE ANSH STALL AT THE HEALTH MELA DURING THE NATIONAL NUTRITION WEEK.

KEYWORD

Situational Assessment Study in Bahraich and Gaya

Towards improving the nutrition parameters among core adolescent group, ANSH measures the height and weight of the selected 2500 adolescents on regularly basis and also tracks their BMI status.

Similarly, towards reducing the anaemia, Hb level of these 2500 adolescents are being assessed on quarterly basis.

Rapid study on status of Peer Educator program was conducted in Bahraich after the initiation of the project in the block to understand the status of RKSK program in the block and accordingly develop the programme strategy.

Adolescent friendly health club meetings: ANSH team facilitated in formation of adolescent friendly health clubs in project blocks and also supported and facilitated initial meetings of these groups. In these meetings BCPM, BPM,

AFHC counsellor, LS, ANM, ASHA, AWW and adolescents participate.

Observation of specific “day” such as National Deworming Day (10th August and 10th February), Global Hand Washing Day (15th October), World Iodine Deficiency Disorder Day (26th October) by the ANSH state teams October), World Iodine Deficiency Disorder Day (26th October) by the ANSH state teams through awareness generation, counselling sessions, Health Camps for school going adolescents, Adolescent Group meeting on nutrition, WASH and health related issues.

ANSH team in Madhya Pradesh supported the district administration in rolling out “Dastak Abhiyaan” - a door to door campaign to ensure better nutrition to adolescents, pregnant, lactating mothers & children.

APRIL, 2019 / / ISSUE NUMBER-01/2019 ANSH

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About the project

Under the Mission Health of GSK-CH, the ANSH (Adolescent Nutrition, Sanitation and Health) project was initiated in March 2018 and invests in improving nutritional status of adolescent girls and boys by strengthening evidence-based globally accepted interventions being implemented by Government of India under its various health and nutrition programs and schemes. The objectives of the project are aligned with those of Poshan Abhiyaan (National Nutrition Mission -NNM) and Rashtriya Kishore Swasthya Karyakram (RKSK). The project is being technically led by JSI R&T Foundation and implemented by the NGO ‘SHARP.

ANSH is implemented in four states in one district each, Bahraich (Uttar Pradesh), Gaya (Bihar), Barpeta (Assam) and Vidisha (Madhya Pradesh). The districts are selected based on their poor performance in key indicators as identified by Niti Aayog and are designated as Aspirational districts.

• To provide technical assistance to government and the implementing partner to ensure roll out of relevant health, nutrition and WASH programs for in and out-of- school adolescents in four districts

• To increase awareness about undernutrition, create demand for Iron Folic Acid (IFA) and deworming tablets and promote dietary diversity among adolescents in selected sites

• Increase and sustain access to IFA and deworming tables in selected sites

• Increase access to sanitation and hygiene resources (toilets) for adolescents through schools

• Strengthen policy and enabling environment for adolescent nutrition

Reach of ANSHBACKGROUND OBJECTIVES

REACH OF ANSH TILL FEBRUARY, 2019

Project ANSHPromoting Nutrition, Sanitation and Health among Adolescents (10-19 years)

John Snow India R&T Foundation & SHARP; Supported by GSK Consumer Health