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Empowerment of 154000 Adolescent Girls in India

by Ashish Gram Rachna Trust: Institute of Health Management, Pachod
Empowerment of 154000 Adolescent Girls in India
Empowerment of 154000 Adolescent Girls in India
Empowerment of 154000 Adolescent Girls in India
Empowerment of 154000 Adolescent Girls in India
Empowerment of 154000 Adolescent Girls in India
Empowerment of 154000 Adolescent Girls in India
Empowerment of 154000 Adolescent Girls in India
Empowerment of 154000 Adolescent Girls in India
Empowerment of 154000 Adolescent Girls in India
Empowerment of 154000 Adolescent Girls in India
Empowerment of 154000 Adolescent Girls in India
Empowerment of 154000 Adolescent Girls in India
Empowerment of 154000 Adolescent Girls in India
Empowerment of 154000 Adolescent Girls in India

Khushi is a young married woman who comes from a large joint family of 11 individuals that live in one of the slums where IHMP provides services. She has merely 4 years of schooling. All her family members live in a small shack made of metal sheets. She and her family members make steel cooking utensils in the slum where they live.

 

Khushi was enrolled for Institute of Health Management Pachod (IHMP’s) adolescent care services when she was an adolescent girl.During a routine monthly house visit our community health worker (CHW) found that Khushi had missed her periods. The CHW conducted a pregnancy test immediately and found that Khushi was pregnant. Her menstrual period was on 7th August 2019.

 

The CHW brought Khushi to IHMP’s nurse who enrolled her for antenatal care. During a routine examination the nurse found that Khushi was anaemic. She was given iron tablets to treat her anaemia, following which her pregnancy kept progressing smoothly.

 

In the last week of April 2020, during her monthly household visit our CHW found that Khushi was suffering from dry cough,fever and body ache. Khushi was in the 9th month of pregnancy. The CHWtold Khushi to accompany her immediately to a nearby referral hospital where she tested positive for the Covid 19 infection. Khushi and her family were alarmed.

 

By then IHMP’s nurse had been told about Khushi’s predicament. She told the family to take Khushi to the largest tertiary hospital in the city where Khushi was admitted in the isolation ward.

 

She got admitted on 29th April at the tertiary hospital where the doctors advised a caesarean operation. On 30th April 2020 she delivered a premature baby through caesarean section. The newborn and mother were kept separately and treated for Covid 19 for a period of 14 days.

 

Khushi and her baby were discharged on 12th May 2020 after their treatment was over. The mother and newborn are well and safe at home.

 

Khushi is one of many young married women who have benefitted from IHMP’s Covid 19 relief work. The Institute has distributed 60,000 personal protection equipment to frontline workers and provided food to hundreds of migrant workers who were bereft of jobs and livelihood.

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A quintessential, empowered and unstoppable girl

 

Sunita (name changed) is a 14 year old mother. Her parent’s home is in another district far away from where IHMP works with adolescent girls. 

Her father is an alcoholic and is notorious for domestic violence. Sunita suffered from discrimination right from the time of her birth. Her mother sent Sunita to an aunt who took responsibility for her education in a nearby city. When she reached 13 years of age and was in the 8th class in school the aunt refused to continue to keep her and so the mother decided to get her married off.

Her mother received a proposal from the parents of a boy who is far less educated than Sunita, yet she married her off as quickly as possible. Within months of marriage Sunita discovered that she was pregnant.

She had no idea how a child is born and where it comes from. When she started labor pains her in-laws took her to a large hospital in a neighboring city. She saw women with their legs spread out and strapped to obstetric tables and she started crying. Following a very difficult delivery she gave birth to a baby girl.

After her delivery Sunita and her baby were provided with post-natal care by IHMP’s community health worker and nurse. She was counseled by IHMP’s workers and was invited to attend the Life skills Education classes being conducted in her village. She learnt that the sex of a child is determined by a man not by the wife.

Sunita took a pledge that she will not allow her daughter to go through what she had experienced during her childhood. She told her parents-in-law that her husband is responsible for the sex of their child. Since her husband has produced a girl child they should take care of her the way they would have taken care of a male grandchild. She also told her husband that he would have to take equal responsibility of child care along with her.

When she was interviewed by us Sunita said “I made sure that my baby girl is the centre of attention in my husband’s family. The life of my husband and in-laws revolves around my little girl. I will never allow her to be discriminated against. If I get pregnant again I would like another girl”.

Sunita also took a pledge that she will not allow any girl in her village to go through what she went through. She is conducting training in Sexual and Reproductive Health for married adolescent girls in her village. Sunita desires to study further. IHMP is supporting her to fulfill this dream.

Life skills education and counseling by our frontline workers have resulted in many quintessential, empowered and unstoppable girls like Sunita.

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Kalpana (name changed) is a 17 year old girl from Taka village. She and her husband are landless laborers. Between them they earn the equivalent of 3 USD per day. The family has barely enough money for their household expenditures.

During her routine monthly health needs assessment, Rajni our community health worker (ASHA) met Kalpana when she was in her 6th month of pregnancy. Kalpana told Rajni that she fell down a few days back and since then she has been getting pain in her lower abdomen. Rajni immediately knew that this was a potential complication and so she asked Kalpana if she had any other symptom. Kalpana said that she had been having slight bleeding since two days.

Rajni called the nurse at the health centre who told Rajni that Kalpana could be having a threatened abortion and should be shifted to the health centre immediately. Rajni asked for an ambulance but it was not available. So Rajni went round the village to find out if any private vehicle was available. Finally, she located a family that had a tractor with a trolley. By then many neighbors had gathered to assist. They brought several mattresses and Kalpana was made to lie down comfortably in the tractor trolley.

When Kalpana reached the health centre the doctor started treatment immediately. He told Rajni that if she had not brought Kalpana quickly she would have had a miscarriage. Kalpana’s treatment continued for several days. When her abdominal pain subsided she was sent home and was told to take complete bed rest. Rajni told her husband that he would have to do all the housework and let Kalpana have complete rest in order to save the baby. Rajni would visit Kalpana every week to make sure that she was taking complete bed rest and getting a good diet.

Kalpana completed nine months of pregnancy and finally delivered a healthy baby girl. Both Kalpana and her husband were ecstatic especially since they realized that they could have lost this baby had it not been for Rajni’s personalized care. Kalpana told Rajni “My baby girl is alive because of your timely intervention”.

Hundreds of married adolescent girls and their newborn babies are alive and well because our community health workers identified complications on time and made sure that the girls were taken to a hospital for treatment.

There are more than one million community health volunteers (ASHAs) in India. Can you imagine the number of young mothers and their newborns they can save by being vigilant and proactive and linking girls with maternal complications to a health facility.

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Sunita (name changed) is a brilliant girl who was studying in the 10th class when an unfortunate incident occurred in her slum.  An adolescent couple who wanted to get married decided to run away from home but eventually ended up committing suicide. After this incident many parents were scared and reluctant to send their girls to school; Sunita’s grandmother was one of them.

 

Sunita’s grandmother thought that her grand-daughter might also have an affair and may run away with a boy. Anita’s schooling was stopped. To make it worse when she turned 16 yrs; her parents and grandmother decided to marry her with a boy who belonged to their own kinship. They were determined to arrange her marriage as soon as possible.

 

Sunita was enrolled in the life skills education being conducted in her slum by Institute of Health Management Pachod (IHMP). She told her grandmother about the risks of early marriage that she had learnt during life skills education and tried to convince her that she would never think of running away with a boy.

 

The adolescent girl’s club members visited Sunita’s house and met her family members. Initially her parents and grandmother were adamant and refused to discuss the possibility of continuing Sunita’s education. The girl’s club members made Sunita’s grandmother and parents realize that with the moral values that they had received during the life skills education; she will not even think of running away with a boy if she were allowed to continue her education. They convinced the family that their fear created from the actions of a neighbors’ daughter would unnecessarily deprive Sunita of education and the potential for a better life.

 

The next day Sunita’s grandmother visited IHMP’s community health worker’s home to inform her of the family decision to continue with Sunita’s education and delay her marriage till as long as she wished to continue studying.

 

Sunita shared her happiness by distributing chocolates to all girls in her life skills education class and the girl’s club members. She continues to go to school, and is now in the 12th class. She is happy with her achievement.

 

Every year about 5000 girls like Sunita get empowered as a result of IHMP’s life skills education. Thousands of girls have been able to negotiate with their parents and family members to continue with their education and delay their marriage.

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During household visits in one slum, IHMP’s nurse, Nirmala and the Community Health Worker, Lata found a pregnant woman, Renuka (name changed) in her 2nd month of pregnancy. After the nurse registered her for pregnancy medical care, Renuka told them that she was feeling weak and lethargic since a month. Nirmala probed her for more information and found that she was only having two meals a day and her blood reports indicated that she was severely anemic.

Nirmala and Lata were quick to assess the situation and told Renuka to increase her food intake. They provided her with a daily diet intake chart designed by Institute of Health Management Pachod (IHMP), which provides the different times a pregnant woman must take meals, and the variety of food options she should choose for each meal. They told her to display the chart in her kitchen, and follow the dietary plan as closely as possible. They also explained her how to control anemia through good diet.

During their next visit, Nirmala and Lata were very pleased to see that Renuka's husband, Satish was also present and was eager to know about the dietary requirements of his wife during the course of her pregnancy. The nurse patiently explained to him about the dietary needs of a pregnant woman, and showed him the daily dietary intake chart that they had given to Renuka.

During their next visit IHMP’s nurse, Nirmala and Lata were pleasantly surprised with what they saw.

Lata knocked on Renuka's door, to be greeted by her healthy, glowing face. She led them into the kitchen and pointed to a paper stuck to the wall. The two women stared at a neat personalized, weekly, dietary intake chart that had been adapted by Satish and presented to his wife a few weeks ago. Every day Satish would go to the market and purchase food items that they had specified on Renuka’s dietary intake chart.  At the end of each day Renuka and Satish signed the chart making sure that the dietary recommendations made by the nurse had been followed. Nirmala and Lata were delighted to see that Renuka’s husband had taken such keen interest to ensure his wife’s good health.

Satish is our champion and ambassador of the month. He has been involved in sharing the dietary intake chart designed by him with the spouses of other pregnant women in nearby slums. He tells other men how his severely anemic wife improved solely with good dietary intake.  Satish epitomizes the importance of involving husbands in ensuring safe pregnancy for young women.

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Organization Information

Ashish Gram Rachna Trust: Institute of Health Management, Pachod

Location: Aurangabad, Maharashtra - India
Website:
Project Leader:
Ashok Dyalchand
Aurangabad, Maharashtra India
$106,718 raised of $150,000 goal
 
723 donations
$43,282 to go
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