ALIGARH MODEL OF SUPPORTIVE SUPERVISION FOR CHILD SURVIVAL
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The document discusses the Comprehensive Child Survival Program (CCSP) launched in Uttar Pradesh, India, and the "Aligarh Model" implemented in Aligarh District. It trained health workers, provided primary healthcare, and strengthened referrals. Graphs show the program improved health workers' skills and increased institutional deliveries, immediate breastfeeding, and exclusive breastfeeding while decreasing pre-lacteal feeding and immediate bathing of babies. A case study highlights the program's impact on an 18-month-old child in the district.
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ALIGARH MODEL OF SUPPORTIVE SUPERVISION FOR CHILD SURVIVAL
- 2. Introduction The Integrated Management of Neonatal and Childhood Illnesses program was launched as a pilot in Lalitpur District in the year 2005. This was further adapted in Uttar Pradesh, and a Comprehensive Child Survival Programme UP (CCSP-UP) was launched during the year 2007-08. The three main elements of this programme are a) Training of functionaries b) Availability of primary health care at doorsteps c) strengthening referral system.
- 3. Aligarh Model Supportive Supervision of Comprehensive Child Survival Program (CCSP-SS) in Aligarh District was launched by the Department of Sociology & Social Work, AMU, Aligarh in collaboration with UNICEF, Lucknow. The project was initiated in Six Blocks of Aligarh District viz. Atrauli, Dhanipur, Gangiri, Jawan, Khair and Lodha during Phase-I (July 2009 to June 2010). Subsequently, remaining six blocks viz. Akrabad, Bijoli, Chandaus, Gonda, Iglas and Tappal were undertaken during Phase-IIa from July 2010-March 2011 and Phase-IIb (April 2011-September 2011). The ongoing Phase III is entitled Strengthening of CCSP through Supportive Supervision (S-CCSP-SS) in Aligarh District from 18th Oct 2011 which is nearing completion by 31st March 2013. The Project with encouraging outcomes is acknowledged as Aligarh Model
- 4. Graph-1: Improvement in ASHAs Skill 100 90 88 86 86 83 84 84 82 83 80 80 80 80 80 78 76 76 70 71 71 70 All Figures in % 60 50 Phase-1(July- Sept 2009) 40 40 Phase-1(May- June 2010) 30 23 Phase-2 (July- 20 Sept 2011) 12 13 10 10 8 Ongoing Phase (July-Sept 0 2012) Assessing Using Chart Giving Giving Advice Counseling for Performing Breastfeeding booklet for Treatment on breastfeeding home care home visit (Attachment classification according to and Sucking) classification
- 5. Impact on Community Practices: Two surveys (Baseline & End line) were carried out during July August 2009 and November December 2011. Both the surveys were integral part of the S-CCSP-SS project in Aligarh District. Data were collected using 25 variables in the baseline survey and 35 variables in the end line survey. The trends focused are institutional delivery, immediate bath after birth, initiation of breastfeeding, exclusive breastfeeding and babies given pre-lacteal.
- 6. Graph-2: Institutional Delivery 76 74 72 All figures in % 70 68 66 64 62 60 Institutional Deliveries Baseline 65 Endline 74
- 7. Graph-3:Immediate Bath after Birth 35 32 30 All figures in % 25 20 15 11 10 5 0 Immediate Bath after Birth Baseline 32 Endline 11
- 8. Graph-4: Initiation of Breast Feeding 90 80 80 70 60 All figures in % 50 47 40 40 30 20 15 13 10 5 0 <1 hour 1-24 hours >24 hours Baseline 40 13 47 Endline 80 15 5
- 9. Graph-5: Exclusive Breast Feeding 80 71 70 60 All figures in % 50 40 30 30 20 10 0 Exclusive Breast Feeding Baseline 30 Endline 71
- 10. Graph-6: Babies Given Pre-Lacteal 50 47 45 40 35 All figures in % 30 25 20 16.3 15 10 5 0 Babies Given Pre-Lacteal Baseline 47 Endline 16.3
- 11. CASE STUDY Name Manju Sex Female Age 18 Months Old Name of Mother Geeta Village Kurhala Block Akrabad 15 Days Old Manju
- 12. After 7 Months After 18 Months