PROJECT:
ArrayMother NGO for Adolcsent Reproductive & Sexual Health “ARSH Udaan”

Mother NGO for Adolcsent Reproductive & Sexual Health “ARSH Udaan” (Department of Health & Family Welfare, Government of Uttarakhand and National Rural Health Mission “NRHM”) (2012 – 2015)
It is a matter of pride that IMPART has been selected both mother and field NGO for Adolescents Reproductive & Sexual Health (ARSH) program. In the year 2008, the ARSH intervention was initiated through a pilot project in the state of Uttarakhand with the external support of USAID under Innovations in Family Planning Services (IFPS) grant. The branding of the ARSH program in the state was done as “UDAAN – Understanding, Delivering and Addressing Adolescent Needs”. However, prior to this pilot few other intervention programs like KISHORI UTTHAN PARIYOJANA and others were also implemented in the state. In the year 2008 UKHFWS decided to initiate the pilot project, through USAID’s IFPS mechanism, in eight blocks of the four districts namely Dehradun, Haridwar, Udham Singh Nagar and Nainital. A midline assessment of the impact of UDAAN services in these pilot blocks was undertaken by UKHFWS through IFPS funds in the year 2010—11. Some of the key findings are being listed here:
- Awareness of services was 51.2 % in males and 48.8 % in females.
- Awareness of health camps was relatively higher compared to other activities. Being highest in Dehradun ( 41.9%) in males and in Nainital(40.6 %) was highest in females.
- Awareness and utilization of Udaan services was found higher among school going adolescent as compared to non-school going adolescent.
- Over Four –Fifths reported satisfaction with services, who utilized at least one service by UDAAN program.
- Regarding Location of Health Services for adolescents, 44% male adolescents stated that it should be within village and 27% female adolescents stated that sub-centres would be convenient.
- A higher proportion of users 21.5% reported having ever heard of RTI, compared to non-users 10.2% of Udaan services.
- A higher proportion of users (76.6%) reported having ever heard of HIV/AIDS, compared to non-users (61%) of Udaan services.
- A much higher proportion of users (94.1%) perceived ideal number of children as one or two, compared to non-users (10.4%) of Udaan services.
- A higher proportion of users (76.2%) perceive problems arising from early pregnancy, compared to non-users (63.7%) of Udaan services.
- Awareness about minimum legal age at marriage for girls being 18 yrs, was observed among a higher proportion of users (90.1%) compared to non-users (84.5%) of Udaan services.
- Awareness about minimum legal age at marriage for boys being 21 years, was observed among a higher proportion of users(77.2%), compared to non-users(71.4%) of Udaan services.
- Parents reported their satisfaction by stating that ,the adolescent are engaged gainfully due to program initiatives, participation in the program made adolescent more aware and adolescents also tend to learn on a variety of new and useful life aspects.
In the subsequent year, UKHFWS expanded the ARSH – UDAAN project which is now running in 27 blocks of the state. A State Nodal Agency, CSHCS &SAMARPAN was also selected to provide the technical assistance to the UKHFWS on ARSH issues in terms of undertaking all the activities as envisaged in the concept note of ARSH – UDAAN project under the guidance of Programme officer RCH and state has decided to continue with the same agency as SNA in the year 2012-13.
Coverage of UDAAN (ARSH) Program in Uttarakhand
Presently, the ARSH – UDAAN program is implemented in 27 blocks of 4 districts of Uttarakhand with the help of 12 Field NGOs at the block level and a State Nodal Agency for providing technical assistance to the SPMU within UKHFWS.
S. No. | District | Blocks | Population | Adolescents | Sex Ratio | Literacy Rate (M) | Literacy Rate (F) |
1 | Dehradun | 6 | 1698560 | 373683 | 902 | 90.32 | 79.61 |
2 | Haridwar | 6 | 1927029 | 423946 | 879 | 82.26 | 65.96 |
3 | U S Nagar | 7 | 1648367 | 362641 | 919 | 82.48 | 65.73 |
4 | Nainital | 8 | 955128 | 210128 | 933 | 91.09 | 78.21 |
Total Averages | 27 | 6229084 | 1370398.48 | 908 | 86.53 | 72.37 |
Objectives of Program:
- To make health care services more accessible and acceptable to adolescents.
- To build the capacity of health providers to improve service performance for the delivery of adolescent-friendly services.
- To establish convergence of various stakeholders in providing a comprehensive package of services for the adolescents based on their needs.
Services under UDAAN
The comprehensive package of services was designed to respond to the diverse needs of different adolescents and includes promotive, preventive and curative services. The package also include services which may be beyond the purview of health per se, but are indirect determinants of the physical, social and mental well-being of adolescents.
- Promotive Services like counselling for unmet need of contraception, information on RTI/STI , menstruation and other sexual concerns.
- Preventive Services like nutritional counselling, supplement for nutritional anaemia , T.T. Immunization and focused antenatal care.
- Curative Services viz; treatment for RTI/STI, Anaemia, acne, cornice infection etc.
- Miscellaneous Services like life skills education, career counselling and co-curricular activities.
The state proposes to expand the program in 15 blocks of remaining 9 districts of the state, the remaining 53 blocks in 9 districts will be covered in FY 2013-14 as second phase of expansion. In this way the state will ensure the 100% coverage of all the block by the FY 2013-14.
Expansion of ARSH- UDAAN :
The ARSH-UDAAN program is proposed to be expanded in some blocks, 1 in 3 small districts ( Rudraprayag ,Bageshwar and Champawat) and 2 blocks in remaining 6 districts namely Uttarkashi, Chamoli, Tehri, Pauri Garwal, Pitthoragarh and Almora. There are 95 blocks in the state and 27 are already covered through the block level FNGOs and 68 are remaining in 9 districts, where no such program is undertaken. Hence, in addition to the existing 27 blocks, additional 15 blocks will be covered during next FY 2013-14 while the remaining will be propose in the next PIP for the FY 2014-15 to cover all the 95 blocks of the state.
S. No. | District | Total Blocks | To Be selected | Pop | Adol. Pop | Sex Ratio | Literacy Rate (M) | Literacy Rate (F) |
1 | Uttarkashi | 6 | 2 | 329686 | 72531 | 959 | 89.26 | 62.23 |
2 | Chamoli | 9 | 2 | 391114 | 86045 | 1021 | 94.18 | 73.2 |
3 | Tehri | 9 | 2 | 616409 | 135610 | 1078 | 89.91 | 61.77 |
4 | Garhwal | 15 | 2 | 686527 | 151036 | 1103 | 93.18 | 73.26 |
5 | Rudraprayag | 3 | 1 | 236857 | 52109 | 1120 | 94.97 | 70.94 |
6 | Champawat | 4 | 1 | 259315 | 57049 | 981 | 92.65 | 68.81 |
7 | Pithoragarh | 8 | 2 | 485993 | 106918 | 1021 | 93.45 | 72.97 |
8 | Bageshwar | 3 | 1 | 259840 | 57165 | 1093 | 93.2 | 69.59 |
9 | Almora | 11 | 2 | 621927 | 136824 | 1142 | 93.57 | 70.44 |
Total/Average | 68 | 15 | 3887668 | 855287 | 1057.56 | 92.71 | 69.25 |
Indicator for FNGOS 2014-15
Quarterly Indicators: 1st Quarter
- Procurem
- ent of Adol. Kits from UKHFWS (PGE Kits) — Yes
- Project Staff to be stationed at block level AFCC of the Intervention Block. — Yes
- Selection/Continuation of 50 priority villages in the intervention block in consultation with Block MO I/c — Yes
- Advocacy Meetings at village level with parents & VHSC members and Adolescents for selection of PGE’s in 50 priority villages. — Yes
- 50 percent of existing PGEs (who are inactive and completed the age of 19 years) will be replaced by selecting new PGEs. — Yes
- Training of 50 male and 50 female PGEs — Yes
- Opening of individual saving bank account of all the selected PGEs. — Yes
- Identifying/Continuation 15 AFC and coordinate with UKHWS for IEC material for AFC. — Yes
- Distribution of News paper and magazines at the AFC from the 3rd month. — Yes
- Organization of 2 Health Camp — Yes
- 1st Exposure Visit . — Yes
- 3 School Based workshop on Adolescent Issues. — Yes
- 10 Advocacy Meetings (5 in each month) on Menstrual Hygiene to Adol. girls with ANM. Should be in the group of minimum 15 Adol. girls. — Yes
Quarterly Indicators: 2nd Quarter Nov 2013 to Jan 2014
- Monthly scholarships for 100 PGEs into their individual bank account only. — Yes
- Organization of monthly 45 cluster meetings (15 in each month) — Yes
- Incentivize ASHA’s to support Cluster meetings — Yes
- 15 Advocacy Meetings (5 in each month) on Menstrual Hygiene to Adol. girls with ANM. — Yes Should be in the group of minimum 15 Adol. girls. — Yes
- 4 School Based Workshops on Adolescent issues— Yes
- 3 Health Camps — Yes
- Sponsorship for the enrollment of 10 (5 Male/5 Female) Out of School Adol. for livelihood Training programs. — Yes
- Distribution of News paper and magazines at the AFC on monthly basis. — Yes
- 2nd exposure visit — Yes
Quarterly Indicators: 3rd Quarter Feb 2014 to April 2014
- Monthly Scholarships for 100 PGEs into their individual bank account only. No
- Organization of monthly 45 cluster meetings 15 in each month. — Yes
- Incentivize ASHA’s to support Cluster meetings — Yes
- 15 Advocacy Meetings on Menstrual Hygiene to Adol. girls with ANM. Should be in the group of minimum 15 Adol. girls. — Yes
- 4 School Based Workshops on Adolescent issues — Yes
- 3 Health Camps, 1 in each month. — Yes
- 7 School Based Poster/Drawing Competitions — Yes
- Sponsorship for the enrollment of 10 (5 male and 5 female) Out of School Adolescent for livelihood Training programs — Yes
- Distribution of News paper and magazines at the 15 AFCs on monthly basis. — Yes
- 3rd exposure visit – Yes
ARSH Program in US Nagar, Uttarakhand:
As per the given targets, IMPART and its field NGOs has conducted following activities during the specified time span.
Sl | Formation of Adolescent Groups | TOTAL | |||||||
Activity Organized per Block | JASPUR | KASHIPUR | BAJPUR | GADARPUR | RUDRAPUR | SITARGANG | KHATIMA | ||
Name of FNGO | GCVWS | IMPART | IMPART | GCVWS | KAGAS | IMPART | KAGAS | ||
i | Total number of groups formed | 100 | 100 | 100 | 100 | 100 | 100 | 100 | 700 |
ii | No. of Active Groups | 100 | 100 | 100 | 100 | 100 | 100 | 100 | 700 |
iii | Total Enrolled School- going Adolescents | 1610 | 1575 | 1575 | 1544 | 1490 | 1594 | 1478 | 10866 |
iv | Total Enrolled Non School- going Adolescents | 90 | 199 | 199 | 203 | 41 | 181 | 22 | 935 |
v | Total Enrolled Adolescents | 1700 | 1774 | 1776 | 1747 | 1531 | 1775 | 1500 | 11803 |
Training Sessions Organised and Monitored | |||||||||
Sl | Activity Organize in per Block | JASPUR | KASHI PUR | BAJPUR | GADARPUR | RUDRAPUR | SITARGANG | KHATIMA | TOTAL |
Name of FNGO | GCVWS | IMPART | IMPART | GCVWS | KAGAS | IMPART | KAGAS | ||
i | Total no. of ARSH Mobilizers | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 14 |
ii | Training Sessions delivered by ARSH Mobilizes to PGEs | 213 | 127 | 135 | 15 | 170 | 135 | 321 | 1116 |
iii | Training Sessions monitored by ARSH Mobilizers | 211 | 140 | 175 | 164 | 258 | 161 | 384 | 1493 |
iv | Sessions organized by PGE in fields | 3414 | 2979 | 2211 | 2815 | 3278 | 2733 | 2430 | 19860 |
BCC Activity | TOTAL | ||||||||
Activity Organize in per Block | JASPUR | KASHIPUR | BAJPUR | GADARPUR | RUDRAPUR | SITARGANG | KHATIMA | ||
Name of FNGO | GCVWS | IMPART | IMPART | GCVWS | KAGAS | IMPART | KAGAS | ||
i | Total No. of villages identified/ covered | 50 | 50 | 50 | 50 | 50 | 100 | 50 | 400 |
ii | Total No. of Adolescent Friendly Clubs formed | 15 | 15 | 30 | 15 | 15 | 30 | 15 | 135 |
iii | No. of Cluster Meetings organized | 135 | 135 | 135 | 15 | 150 | 135 | 153 | 858 |
iv | Participation of PGE in Cluster Meetings | 791 | 818 | 863 | 705 | 938 | 665 | 844 | 5624 |
V | No. of Community Meeting organized | 52 | 50 | 125 | 50 | 50 | 52 | 50 | 429 |
Sl | No. of School Based Activities | Total | ||||||
School Workshops | 15 | 14 | 16 | 15 | 13 | 15 | 13 | 101 |
( No. of Adolescents participated ) | 987 | 327 | 526 | 497 | 386 | 624 | 368 | 3715 |
Sl | Facilitation of AFHS | TOTAL | |||||||
Activity Organize in per Block | JASPUR | KASHI PUR | BAJPUR | GADARPUR | RUDRAPUR | SITAR GANG | KHATIMA | ||
Name of FNGO | GCVWS | IMPART | IMPART | GCVWS | KAGAS | IMPART | KAGAS | ||
i | Health Camps organized by ARSH Mobilizer | 10 | 11 | 11 | 10 | 5 | 9 | 5 | 61 |
a | Health Camps organized With School Health Team | 4 | 4 | 5 | 4 | 5 | 4 | 0 | 26 |
ii | Adolescents received Health Services in Health Camps | 554 | 569 | 574 | 578 | 263 | 446 | 200 | 3184 |
iii | Adolescents facilitated to receive Health Services at AFCCs | 311 | 224 | 592 | 104 | 11 | 281 | 14 | 1537 |
iv | Adolescents referral to higher health facility | 29 | 47 | 8 | 105 | 0 | 20 | 0 | 209 |
V | School going Adolescents Counseled | 409 | 109 | 217 | 272 | 263 | 47 | 200 | 1517 |
Vi | Non School going Adolescent Counseled | 31 | 12 | 75 | 306 | 19 | 0 | 0 | 443 |
Vii | Adolescents who received AFHS after Counseling | 74 | 13 | 265 | 226 | 0 | 0 | 0 | 578 |
No. of Adolescents who received following | |||||||||||
Sno | Activity Organize in per Block | JASPUR | KASHI PUR | BAJPUR | GADARPUR | RUDRAPUR | SITAR GANG | KHATIMA | TOTAL | ||
Name of FNGO | GCVWS | IMPART | IMPART | GCVWS | KAGAS | IMPART | KAGAS | ||||
i | T.T | 486 | 252 | 341 | 245 | 55 | 0 | 0 | 1379 | ||
ii | IFA | 246 | 176 | 345 | 408 | 13 | 319 | 0 | 1507 | ||
iii | Height | 554 | 518 | 581 | 578 | 161 | 419 | 108 | 2919 | ||
iv | Weight | 554 | 518 | 583 | 578 | 161 | 529 | 108 | 3031 | ||
v | D- Worming | 195 | 176 | 519 | 230 | 10 | 485 | 73 | 1688 | ||
vi | Others- Calcium | 122 | 97 | 285 | 318 | 21 | 225 | 0 | 1068 | ||
No. Of Adolescent who Complained of | |||||||||||
Sno | Activity Organize in per Block | JASPUR | KASHI PUR | BAJPUR | GADAR PUR | RUDRA PUR | SITAR GANG | KHATIMA | TOTAL | ||
Name of FNGO | GCVWS | IMPART | IMPART | GCVWS | KAGAS | IMPART | KAGAS | ||||
i | Anemia | 209 | 77 | 93 | 167 | 0 | 93 | 0 | 639 | ||
ii | Worm Infestation | 178 | 26 | 27 | 255 | 0 | 33 | 0 | 519 | ||
iii | Irregular Menses | 77 | 47 | 84 | 30 | 0 | 96 | 0 | 334 | ||
iv | Pain in Lower Abdomen | 987 | 36 | 26 | 34 | 0 | 69 | 0 | 1152 | ||
v | Back Ache | 97 | 28 | 9 | 67 | 0 | 24 | 15 | 240 | ||
vi | Burning in Urine | 66 | 9 | 10 | 20 | 0 | 14 | 0 | 119 | ||
vii | Itching | 112 | 77 | 99 | 62 | 0 | 38 | 0 | 388 | ||
viii | White Discharge | 80 | 57 | 79 | 50 | 0 | 28 | 0 | 294 | ||
ix | Dental Carries | 126 | 30 | 67 | 62 | 0 | 34 | 7 | 326 | ||
x | Skin Diseases | 117 | 64 | 65 | 120 | 0 | 54 | 8 | 428 | ||
xi | other – headache etc | 91 | 62 | 64 | 83 | 0 | 119 | 0 | 419 | ||
Networking and Liasoning | |||||||||||
Sno | Activity Organize in per Block | JASPUR | KASHI PUR | BAJPUR | GADARPUR | RUDRAPUR | SITAR GANG | KHATIMA | TOTAL | ||
Name of FNGO | GCVWS | IMPART | IMPART | GCVWS | KAGAS | IMPART | KAGAS | ||||
i | Health Center (SC/PHC/CHC/DH) | 130 | 77 | 90 | 145 | 63 | 99 | 78 | 682 | ||
ii | School teachers | 92 | 30 | 32 | 60 | 14 | 26 | 23 | 277 | ||
iii | PRI (Pradhan,VHSC,Sarpanch, Panchayat, local leader) | 124 | 57 | 227 | 120 | 115 | 165 | 47 | 855 | ||
Iv | Block (Block pramukh, VDO, MOIC and other) | 70 | 24 | 20 | 72 | 44 | 107 | 24 | 361 | ||
v | District | 13 | 14 | 16 | 10 | 14 | 15 | 6 | 88 | ||
vi | Others (ICDS, ASHA etc.) | 192 | 139 | 208 | 195 | 333 | 250 | 245 | 1562 | ||
Other Activities | |||||||||||
i | PGE’s Training (Number of Participants Boys/Girls) | 100 | 100 | 100 | 100 | 100 | 100 | 100 | 700 | ||
ii | Exposure Visits for Adolescents | 4 | 4 | 4 | 4 | 4 | 4 | 3 | 27 | ||
( No. of Adolescents participated ) | 100 | 88 | 94 | 100 | 75 | 85 | 88 | 630 | |||
iii | Livelihood Training | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 14 | ||
( No. of Adolescents participated ) | 20 | 44 | 44 | 20 | 20 | 44 | 20 | 212 | |||
i v | Advocay for mestrual Hygiene with ANM | 50 | 58 | 61 | 51 | 60 | 55 | 53 | 388 | ||
( No. of Adolescents Girls participated ) | 790 | 752 | 867 | 707 | 1,193 | 694 | 711 | 5714 | |||