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  project name ~ 2010-jss-villagecreche

category ~ Health Care and Family Planning




  Project Name





JSS (Jan Swasthya Sahyog)



Health Care and Family Planning







  Budget Approved


Rs 1028000


  Year Approved








  Chapter Coordinators


Rishi Pampati
Saurabh Mittal
Ashwat Ramani
Anubhav Gupta


Baton Rouge










Jan Swasthya Sahyog works in parts of Kota and Lormi blocks of Bilaspur district in Chhattisgarh, running a three-tier community health programme through a network of village health workers in 53 villages; three subcentres, and a base clinic at Ganiyari.
JSS also runs crèches as part of its community programme. These crèches provide day care to children between 6 months and 3 years of age, including supplementary nutrition, while also allowing parents to work, as well as allowing older siblings to go back to school. Their primary aim is to reduce the incidence and prevalence of malnutrition in this vulnerable age group. At present there are 794 children in 47 creches in 25 villages. This represents roughly 40% of eligible children.





In our programme villages, child survival has improved steadily over the years. The infant mortality rate has reduced from 86 / 1000 live births to the current 29.5 / 1000 live births, which is significantly lower than the current rate for rural Chhattisgarh which is at 59/1000 live births (SRS Bulletin, October 2009, Rural IMR). We have achieved this through sustained efforts in various aspects of maternal and child health. First, the improved reach of antenatal services has enabled us to prevent malaria in pregnant women, thus increasing the birth weight of newborns. In 2009, we were able to get birth weights of 88% of newborns, and 80% of them weighed over 2.5 kg. Antenatal services have also enabled us to detect those with risk factors that can be addressed during pregnancy (like severe anaemia or pregnancy induced hypertension), and also those who need to deliver in an institution (eg abnormal presentation; rheumatic heart disease; multiple pregnancy). The steep fall in the neonatal mortality rate has been the result of improved care provided to newborns at the community level and early identification and treatment of illnesses; as well as prompt referral to a facility when required. All our health workers, as well the TBAs we work with know the importance of warmth and breastfeeding in newborn care. Postnatal visits are made for the first ten days by the village health worker, who checks whether the baby is feeding well, and looks for signs of infection. Ensuring a clean delivery, as well as Improved cord care, have reduced the incidence of neonatal sepsis. Pneumonia is treated with oral amoxicillin, for example, and the baby is referred if there are any signs of severe pneumonia. Infant and under-five mortality rates have also shown a steady decrease across the years. Treatment of infections, screening of children if a family member has been diagnosed to have tuberculosis; management of illnesses in children by the village health worker or referral to the senior health worker or the Ganiyari – have all contributed to reducing death rates in this vulnerable group. Regular growth moniroting to detect growth faltering, and providing supplementary nutrition to children between 6 months and 3 years of age have been other contributory factors.





At present there are 794 children in 47 creches in 25 villages. This represents roughly 40% of eligible children. We hope to increase this number by 50% over the next three years.



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