SMS understanding the importance of sound health in bringing holistic improvement of the community has been implementing several health programs that are in-built in different projects and include health awareness programs, running health clinics, providing medical services.
Besides SMS is also working as the MNGO of Nadia District in W.B. to sensitize the community further about health issues.

SMS as the MNGO

Goal:

Improved reproductive and child health status of the targeted community

Objectives:

1.To strengthen the capacity of FNGOs for ensuring antenatal care (ANC) and immunization coverage by the end of 3 years in the selected subcentres areas.
2.To facilitate the FNGOs in networking with stake holders to ensure the use of modern family planning method
3.To strengthen the referral system through FNGOs and community based organization (CBO) to ensure institutional delivery by in targeted areas.
4.To enhance the knowledge and skill of FNGOs to ensure referral of identified reproductive tract infection (RTI) cases in selected areas.

SMS has set unprecedented paradigm in this field through its conscientious effort as a Mother NGO in Nadia district entrusted by the Department of Health & Family Welfare (GOI) in collaboration with the State government. This project is a part of the NRHM (National Rural Health Mission- Central government).

Under the supervision and guidance of the Mother NGO several Field NGOs (or FNGOs) execute the curriculum. SMS also performs the dual role of an MNGO & FNGO with equal élan. In a particular area.
Thus SMS leads the way in this sector as the MNGO, which monitors the operations of 4 FNGOs.
Area where FNGOs work: Nakashipara, Chapra, Ranaghat-2, Kaliganj.

Activities of MNGO
Overall management
Plan effective implementation of program
Conduct district sensitization
Conduct FNGO training programs
Monitor & evaluate FNGOs
Maintain MIS
Develop need based IEC materials (poster/calendar)
Conducting meetings at different level (GPs/Blocks/Districts)
Submit quarterly/annual progress report to the District, RRC and State.

At kaliganj, SMS serves as the FNGO.

Activities of FNGO
Sensitization at all levels
Capacity building of FNGO staff
Capacity building of SHGs
Orientation of depot holders
Linkage between community & service providers (ANM & AWW)
Community mobilisation (awareness generation, group meeting)
Hold clinics & immunisation camps
Organise Outreach camps
Hold community events like rally/health fare/special day celebrations
Stakeholders meeting
Arrange exposure visit for FNGO staff

The MNGO guides, monitors and evaluates the activities of FNGOs to facilitate their further development & improvement.

Major achievements

2008 March April-Jun Jul-Sep Oct-Dec Total Delivery 55 146 195 258 Institutional Delivery 25 82 127 173

2008 March April-Jun Jul-Sep Oct-Dec Total EC 12450 12476 12508 12566 Modern FP user 5032 5070 5172 5209

1.Ensuring complete disbursement (as well as the backlog) of Janani Suraksha Yojna (JSY) funds
2.Prepare the name list of eligible mothers - The FNGO coordinator with the help of CHWs make the list of eligible mothers after verification of required proves and submit them in the BPHC
3.Dissemination of information on the benefits of Janani Suraksha Scheme.

Impact:
Noticeable increase in
Early registration of pregnancy
Institutional delivery
Full Immunization of 6 vaccine preventable disease within 12 months
Uses of modern FP methods
Health awareness in the community

The MNGO guides, monitors and evaluates the activities of FNGOs to facilitate their further development & improvement.
New development of MNGO-FNGO Work procedure & MIS reporting
Since January 2009 there was a major change about the MIS format of Community Health Worker. Now the CHWs are preparing their monthly report on the basis of their performances.

Further
SMS staff had shown enormous capability running a sub-centre at Kaliganj single-handedly with great success, with the State government sponsoring the free medicine samples only.
Also in Nakashipara Block SMS members had overcome hurdles and availed nutritional supports (under Central government aid program) to the specified pregnant mothers under the Kuthuria sub-centre.

ASHA (ACCREDITED SOCIAL HEALTH ACTIVIST)
In an effort by the National Rural Health Mission or NRHM to bring all health facilities beneath one umbrella for an integrated approach to health problems, solutions, communications & awareness for the community the government had introduced the concept of ASHA.

Objectives:
Outreach to backward/remote sections of the community
Reduce MMR & IMR
Increase Institutional Delivery
Increase Child Immunization
Increase CPR

Started at the Nakashipara block in Nadia, as a pilot project under NRHM
ASHA serves as a link between the community and the service provider (ANM or Auxiliary Nursing Monitoring) each ASHA covering a population of 1000-1200. At present there are 218 ASHAs working in the block.

ASHAs are imparted trainings to develop their skill in their work in the following.

ANC (Anti Natal Checkup)
PNC (Post natal Checkup)
Understanding Social situation
Full immunisation
Nursing child
Leadership
BCC (Behaviour Change Communication)

Training Part of ASHA:
23 days of training through out the year for each ASHA.
23 days are divided as (7+4+4+4+4 days). A two-month gap between first and second phase of training is maintained. This is followed by the final phase of training after a gap of one month for further consolidation.

Role of MNGO in training ASHAs
The MNGO train and monitor ASHAs. After the completion of training program, ASHAs are directly linked with the BMOH (Block Medical Officer of Health) in the process of Phase out meeting.

Staff pattern:
Two Coordinators and twelve Co-facilitators for 305 ASHA.
Selected 223 ASHAs, presently there are 218 AHSA working.

Remarkable Feat
Awareness generated in tribal and other marginalised community beating the influence of quack treatments. They have been brought under medical immunisation schedule successfully.

Impact
Linkage developed between different stakeholders and participants/liaison
ASHAs evolved as better executors
General inclination towards health sub-centres
Increase in institutional deliveries
Increased awareness about immunisation
Awareness among adolescents
Awareness among the tribal, marginal community & other backward classes

Performance in current year

Number of ASHA Training till date
Population	Targeted	Selected	Now in hand	Presently working	Not being working
3,71,139	305	243	223	218	05

Phase wise training
Sl No.	1st phase	2nd Phase
1	97 selected but trained 94 (May 2007-July2008)	126 selected but trained 124 (December 2007-November2008

Under the guidance of MNGO SMS awareness in health care for child & mother has incredibly increased with remarkable reduced cases of stillbirths or other fatal consequences.

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