*Y.C.* Health from Awareness
We cannot deny the unique demands of women's health from Afghanistan to Zimbabwe. Their uniqueness is the function of our social development and the biology women evolve through.Acceptance of this fact is my point of departure.Awareness is the root of achievement.I plan to provide maternal health education to Female Community Health Volunteers( the community based women who are trained in this subject) on a regular basis,.This in fact is training of trainers.They will reach to individual mothers, potential mothers and their family members and discuss about the knowledge and skill they have.This includes information from conception to child rearing as child health cant be isolated from maternal health and birth spacing counselling to safe abortion.
Next step is access to health services.
Every month mothers who complete at least 4 ANC visits will be identified and one of them will be awarded( by lottery) by child's clothing. This will encourage mothers to go for ANC visits.
Every mother who gives delivery to a child in Hospital/ Health Centers will be provided with some money and a litre of oil. This indeed provides some help to mothers in taking healthy and nutritious food.But this practise will be for only two deliveries, so as to encourage mothers and families to limit the number of children.
The fund will be provided by community bank, which is set up by the health tax paid by people from the profit of their entrepreneurship.Apart from this depending upon the availability of funds several contests can be organized like healthy baby of the year, mother of the year etc
So basically the idea is not imposing the services from outside but indeed strengthening the self health seeking tendancy from with in the community.
About You
Section 1: About You
First Name
Chudamani
Last Name
Giri
Website
Organization
Institute of Medicine, Tribhuvan University
Country
Nepal
Are you an individual between the ages of 18 and 35 who would like to apply for a nine month Young Champions Program mentored by an Ashoka Fellow?
Yes
Section 2: About Your Organization
Organization Name
Institute of Medicine, Tribhuvan University
Organization Website
Organization Phone
Organization Address
Organization Country
Nepal
The information you provide here will be used to fill in any parts of your profile that have been left blank, such as interests, organization information, and website. No contact information will be made public. Please uncheck here if you do not want this to happen..
Your idea
Name Your Project
*Y.C.* Health from Awareness
Country your work focuses on
Nepal, BA
Describe Your Idea
We cannot deny the unique demands of women's health from Afghanistan to Zimbabwe. Their uniqueness is the function of our social development and the biology women evolve through.Acceptance of this fact is my point of departure.Awareness is the root of achievement.I plan to provide maternal health education to Female Community Health Volunteers( the community based women who are trained in this subject) on a regular basis,.This in fact is training of trainers.They will reach to individual mothers, potential mothers and their family members and discuss about the knowledge and skill they have.This includes information from conception to child rearing as child health cant be isolated from maternal health and birth spacing counselling to safe abortion.
Next step is access to health services.
Every month mothers who complete at least 4 ANC visits will be identified and one of them will be awarded( by lottery) by child's clothing. This will encourage mothers to go for ANC visits.
Every mother who gives delivery to a child in Hospital/ Health Centers will be provided with some money and a litre of oil. This indeed provides some help to mothers in taking healthy and nutritious food.But this practise will be for only two deliveries, so as to encourage mothers and families to limit the number of children.
The fund will be provided by community bank, which is set up by the health tax paid by people from the profit of their entrepreneurship.Apart from this depending upon the availability of funds several contests can be organized like healthy baby of the year, mother of the year etc
So basically the idea is not imposing the services from outside but indeed strengthening the self health seeking tendancy from with in the community.
Website URL
Innovation
What makes your idea unique?
My idea is about generating health from with in and without the direct prescription of outside.So there is high chance that it this innovation of the community will be reflected in all aspects of health, not only in maternal health.Indeed without overall upliftment of health status of the community, efforts to address maternal health may not produce the result we aim for.
Furhermore, my idea is supported by strong vision for sustainability. Indeed it is the vital part of the programme.
An important management principle is that when behaviour is rewarded, it tends to be repeated.My idea incorporates the policy of awarding to mothers for what they have done, so it will constantly manage the motivation of family and mothers for health seeking tendency.
Do you have a patent for this idea?
Impact
This Entry is about (Issues)
What impact have you had?
Since the project is in planning phase, so it has not produced significant impact. But I am sure it will address the seven issues mentioned above directly or indirectly.
Problem
They can be listed as follows:
a) lack of political collaboration at local level
b) Difficulty in ensuring initial funding
c) Managing motivation of the Female Community Health Volunteers-can be addressed
d)lack of trained man power to work in health centres for emergency obstetric care
e
Actions
My Organisation is tertiary level health care Institute and it has been providing Obstetric care to referred cases,family planning service and comprehensive abortion care services through Department of Obstetrics and Gynaecology.
The idea I am talking about will be separate but the trained human power of the hospital will be valuable in helping this idea.
Results
1)Increase in no of mothers seeking ANC visits
2)Increase birth spacing
3) Increase in number of children delivered in Hospital
4) Decrease in maternal morbidity due to pregnancy related complications
5) Limit the number of children in Family
6) Help in decreasing maternal mortality
What will it take for your project to be successful over the next three years? Please address each year separately, if possible.
Since my idea is running health awareness programme, rendering curative services in case of necessity and making the families financially stronger to ensure sustainability all the programmes will run in parallel.
What would prevent your project from being a success?
The problems I have mentioned above may pose hindrances but they can be tackled effectively
How many people will your project serve annually?
101‐1000
What is the average monthly household income in your target community, in US Dollars?
Less than $50
Does your project seek to have an impact on public policy?
Yes
Sustainability
What stage is your project in?
Idea phase
Is your organization a
Please select
Is your initiative connected to an established organization?
If yes, provide organization name.
How long has this organization been operating?
Please select
Does your organization have a Board of Directors or an Advisory Board?
Does your organization have a non-monetary partnerships with NGOs?
Does your organization have a non-monetary partnerships with businesses?
Does your organization have a non-monetary partnerships with government?
Please tell us more about how these partnerships are critical to the success of your innovation.
Approximately 150 words left (1200 characters).
What are the three most important actions needed to grow your initiative or organization?
The idea that I proposed is not related to any organisation.I developed this vision as a result of interaction with other doctors and public health colleagues of mine and also by the experience I gained while dealing with local people in clinics.To list 3 important things needed to grow:
1) My motivation to work for the noble cause
2) Formation of organisation which can carry on this vision( It should not be just another NGO/INGO in the crowd but a symbol of activism led by dedicated persons)
3) Ensuring the sustainability of the project as I mentioned in my idea
The Story
What was the defining moment that you led to this innovation?
I myself am the seventh child of my mother out of eight children.Now as a doctor, I can appreciate how it is in reality to raise eight children.It took a significant part of her life, 6 years of pregnancy and almost 24 years of raising eight children.She is 64 now and she gave her whole life in conceiving and raising children.Where to expect creativity out of this woman who has passed her whole life in maintaining the biology of evolution.My mother raised her all kids with perfect love amidst economic hardships.This always inspired to be a doctor and work for the women.My mother is the representative figure of average Nepali women.The modern medicine which I study provides evidence of uterine prolapse,fetal anomalies and other medical morbidities in woman who give birth to may children. This indeed hurts me emotionally.
I love working with people of rural areas.I want to smile with them but not at them.I can appreciate the hardships of rustic life.These all my real life experiences, knowledge and skills I acquired with all my academic leanings and social involvements,interaction with my fellow-mates I developed this idea.I have emotional involvement in this issue rather than professional participation.
Tell us about the social innovator behind this idea.
The social circumstances and the environment amidst which I was grown is the main motivational factor. Besides that my profession as a doctor gave inspiration to make a share of responsibility towards acting for this noble cause.
How did you first hear about Changemakers?
Web Search (e.g., Google or Yahoo)
If through another, please provide the name of the organization or company
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Comments
I really like that your idea is community-driven by drawing upon volunteers within the community, and that it provides tangible incentives to mothers to participate. I am wondering what your thoughts are on: 1) targeting mechanism to identify and recruit female volunteers; 2) incentives to attract female volunteers to participate; and 3) incentives to keep volunteers eagerly involved. I am also curious about any potential challenges you see in collecting the tax you mention that would be used to fund the incentive structure for the participation of mothers in this program. Do you see challenges to this, and if so, do you have any ideas to mitigate these challenges?
Dear Jessica
Though the word volunteer literally mean a person working for a cause without monitory gain,its the widely accepted truth that when the behaviour of the person is rewarded it tends to be rewarded.The same philosophy has enjoyed its application in business sector
1)There are Female community Health Volunteers in wards of the village who are working for the same cause, My basic idea is strengthening the skills of volunteers by training. To identify the volunteers we can select the literate females in village who are willing to give their time for the noble cause
2)The incentives for volunteers can be monitory award like rewarding the volunteer in whose ward maximum number of mother deliver their baby in health centres.
3)If we are able to continue our idea, then the volunteers will be happy to be engaged- training to improve their skill and award for their good work.
One problem is non willingness to pay by the family who are not giving birth to child any more.But once people are convinced that the tax they pay is used for their own benefit, people are motivated to pay.
The next problem can be that all people may not make same profit from their enterprise and paying the same amount would seem unfair on the surface. We can address it individually by looking upon the case
Dear Chudamani
thanks for your nice idea.I wonder about one idea, if you think about providing incentives to female community health vilunteers,
Since the provision of providing monitory awards would encourage many volunteers to apply, how will you select them?Wouldn't the failure to get selected cause negative impact upon them and what are the chances of getting help from those at that time?
Hi Chudamani
I think you can benefit from this paper: The Effects of External Rewards on Intrinsic Motivation.
www.abcbodybuilding.com/rewards.pdf
Good Luck,
Faatemeh
Hi Chudamani
I think you can benefit from this paper: The Effects of External Rewards on Intrinsic Motivation.
www.abcbodybuilding.com/rewards.pdf
Good Luck,
Faatemeh
@ Faatemah- Thank you so much.
@ Pratik-That wont be a great problem, if its like that then we can do it on rotation basis.
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