Contributors: Yadu K.C., Keshav...

1 Geruwa Rural Awareness Association

Annual report 2018

Prepared by: Krishna Jung Shah

Contributors: Yadu K.C., Keshav Rana

Ramrup Kausal, Bidhayak K.C.

Photo: GERUWA

© GERUWA, 2018

For Comments and Suggestions

Geruwa Rural Awareness Association

(GERUWA)

Address

Gulariya Municlipality-8, Bhansar Road,

Bardiya District, Nepal

Phone: +977 84 420087 (Bardiya)

+977 81-416032, 521982 (Nepalgunj)

Email: [email protected]

URL: www.geruwa.org.np

mailto:[email protected]


Annual report 2018

It is my pleasure to bring this document in your hand that provides the summarized information on

the endeavor GERUWA has made for social transformation from its establishment in 1993.

GERUWA restlessly, working on community awareness, empowerment, improving quality service

in health and education sector, reducing the poverty and food insecurity, transforming the conflict,

Family planning, preventing,treatments andcounseling toHIV/AIDS infected and other sexually

transmitted infections people. As Geruwa suffer from loss of valuable documents during conflict,

so, unable to cover all of our efforts in this report. Nevertheless, it provides information of our

most recent efforts and achievements.

GERUWA faced numbers of challenges directly or indirectly during the armed conflict in the

country, still organization continue its edgy effort to achieve organizations mission i.e. A human

society with equality, prosperity, and freedom. In this regards, GERUWA always advocates for

end of poverty, assurance of social justice, and practice of democracy at all level for development.

Believing local people's prosperity is the ultimate goal of development, GERUWA ardently acting

for it. In this time, GERUWA family inline with all Nepali communitypleased with recent political

change in the country and hopeful to sustainable peace, since peace is the only means of

democracy and development. I hope for prosperous NEW NEPAL through structural reform of

status quo structure and process that prevails in the country from centuries. I hope NEW NEPAL

will assure security, identity, participation, recognition and access of each Nepali.

At the time I would like to extend my gratitude for restless effort of Mr. keshave Rana, Yadu K.C,

Bidhayak K.C, Ramrup kausal, Kishor kumar chaudhary to bring this report in this stage. Words

of appreciation goes to Sudhansu Prakash Sharma, Laxman Choudhary, for their valuable inputs,

comments and assistance while preparing this report. Finally, I would be glad if you could provide

specific comments on this report that will be strong feedback to improve the report quality in year

to come.

Geruwa Rural Awareness Association (GERUWA) is non-profit making, non-governmental

social development organization established in 1993 AD having its central office in Gulariya.

GERUWA for actively working in the field of social mobilization and empowerment, capacity

building, community health improvement, HIV/AIDS prevention, popular education, socio-

economic development and social justice and peace building with special emphasis to

disadvantaged and backward areas has gone on partnership approach making wider and better

network and relationship mainly with bilateral and multilateral donors like World Bank, GIZ,

DFID, CCO, JICA, SNV, USAID, UN agencies like UNDP, UNICEF, WFP, INGOs like

SCF/US SAP-Nepal, IUCN, PLAN international, SN-V, TDH, CCE, PSI, World Education,

NGOs like Samuhik Abiyan, FECOFUN, Government Line agency like PAF, DDC, DEO,

DAO, RAIDP and local authorities, and line agencies and community-based organization

(CBOs), civil society networks. The overall aim of GERUWA is 'securing sustainable

development for people of Nepal'. The backward, downtrodden and disadvantaged people in

term of human development status are the ultimate beneficiaries of the GERUWA activities.

Krishna Jung Shah

Chairperson

Geruwa Rural Awareness Association, Bardiya


Annual report 2018

General Information

Name of NGO : Geruwa Rural Awareness Association (GERUWA)

Address :

Telephone :

Email :

Phone no:

Gulariya Municipality 9, Bhansar Road Gulariya,

Bardiya

+977-084-420087

[email protected]

Regional Office Nepalgunj 16 Sub Metropolitan,

Banke

+977-081-416032\521982

Website: geruwa.org.np

Registration No. and District Reg. No. 20 D.A.O. in Bardiya District

Date of last renew: 2075-06-28 Valid up to: 2076-03-30

Established Date : 2049/10/06 (1993/12/20)

PAN No.: 301068969

Regd. No.(SWC) 985 F.Y. 049/050

Contact Person : Krishna Jung Shah

Position : Chairperson

Contact No. Cell No. 9858021421

Executive Board of GERUWA

Present Board of Geruwa (2073-12-16 to 2076-12-15)

S.N Name Position Contacts

1 Krishna Jung Shah Founder Executive

Member\Chairperson 9858021421

2 Sabitra Gautam Vice chairmen 9848255388

3 Sudhansu Parkash

Sharma

General Secretary 9858025141

4 Laxman Pasad Chaudhary Treasurer 9848065107

5 Prabat Jung Shah Secretary 9848026035

6 Prem Kumar Pokhrel Founder chairperson\Executive

Member 9868657562

7 Hari Pasad Sharma Executive Member 9848200922

8 Rita Chaudhary Executive Member 9848031819

9 Urmila Tamrakar Executive Member 9848043178

10 Sunita Chaudhary Executive Member 9848073873

11 Ruhi Edrisi Executive Member 9868080076


Annual report 2018

Organ gram of Geruwa Rural Awareness Association (GERUWA),

Bardiya

Acronyms GERUWA Geruwa Rural Awareness Association

ANC Antenatal Care

BCC Behavior Change Communication

DPAC District program advisiory committe

IPC Inter Personal Communication

IUCD Intra-utrine contraceptive device

LM Lactating mothers

MMA Mid- Media Activities

PBCC Provider Behavior Change Communication

RHCC Reproductive Health Coordination Committee

WRA Women Reproductive Age

PSI Population services international

CLTBCHS Community Led Total Behavior Change in Hygiene and Sanitation

CLTS Community Led Total Sanitation

R-WASH-CC Regional Water, Sanitation and Hygiene Coordination Committee

D-WASH-CC

Committee District Water, Sanitation and Hygiene Coordination Committee

M-WASH-CC Municipality Water, Sanitation and Hygiene Coordination

V-WASH-CC Village Water, Sanitation and Hygiene Coordination Committee

FCHV Female Community Health Volunteer

SLTS School Led Total Sanitation

TBC Total Behavior Change

General Assembly

Executive

Committee

Executive

Director

Programme

Adviser

er

Sub-Committee

Programme

Department

Research,

Documentation,

Monitoring and

Evaluation

Department

Institutional

Development and

Capacity Building

Department

Networking,

Partnership and

Alliance Building

Department

Human Resource

Committee

Finance

Committee


Annual report 2018

ODF Open Defecations Free

WASH Water, Sanitation and Hygiene

DWSS Department of Water Supply and Sewerage

NLS Natural Leaders

WUSC Water Users and Sanitation Committee

DDC District Development Committees

BCC Behavior Change Communication

CBO Community Based Organization

MDG Millennium Development Goal

TSC Total Sanitation Campaign

CBIMCHP Community Based Integrated Mother and Health Project

CHSC Communty Health Service Centre

CSO Civil Society Organization

MMR Maternal Mortality Rate

WFP World Food Program

HSSP Health Sector Support Programme

PHC Primary Health Centre

SHP Sub Health Post

HP Heal Post

MOU Memorandum of Understanding

IUCN International Union for Conservation of Nature

DFID Department of international Development

PUC Project Coordination Unit

Our ongoing Project Brief:

1. Name of the Project: Women's Health Project (WHP) General Information: Funded By: PSI Nepal

Name of PO:

Geruwa Rural Awareness Association, Gulariya Bardiya

Name of Project Women's Health Project

PO's Address:

Gulariya Municipality-06, Santosi Tole, Bardiya

Working District:

Banke, Bardiya, Dang, Kanchanpur and Kailali

No of

Municipality and

Rural municipality

:

District Rural municipality

Municipality Sub-metro Politian

Total Palikas

Dang 1 1 2 4

Banke 1 1 1 3

Bardiya 0 5 0 5

Kailali 2 5 1 8

Kanchanpur 1 6 0 7

Reporting Period:

Fiscal Year 2018


Annual report 2018

Project Background

Since 2016, GERUWA has been implementing the Women’s Health Project (WHP-IV) with

the aim to increase access and use of Long Acting Reversible Contraceptives particularly Intra

Uterine Contraceptive Device and access to safe medical abortion services.

Collaboration with PSI/Nepal is We are supporting to Government in increasing contraceptive

prevalence rate (CPR) and reducing maternal mortality ratio (MMR) in Banke, Bardiya,

Kailali, Kanchanpur and Dang. Increase availability of LARC, Government and private sector

to increase access to safe abortion services through various programs such as Harm Reduction

Orientation and distribution of registered MA drug (Medabon) through private wholesale

distributors.

Project focuses on building the skills of existing family planning service providers in the

private sector for the provision of IUCD insertion and removal services and, in selected public

sector facilities, by providing formal training, startup support and quality monitoring.

Likewise, providers are trained on informed choice counseling techniques that enable them to

provide a range of FP services to their clients depending on eligibility, preference and need. It

has been supports and motivates private sector providers to reach their optimal productivity

while maintaining high-quality service standards through mentoring and stringent quality

supervision. To achieved its goal and objectives of the project, during this year we have

completed many activities which are mentions below:

In WHP, there are 41 OK Pariwar Swastha Sewa Providers enrolled in 5 working districts

(Banke, Bardiya, Dang, Kailali and Kanchanpur). Each OK Pariwar Swastha Sewa Provider is

connected to network of community mobilizers (known as Didi). Didis are responsible for

demand generation at the community level. From 2016, GERUWA is working as a Local

Implementing Partners (LIPs) of PSI/Nepal to implement WHP IV(fourth phase) and

strengthen OK Pariwar Swastha Sewa Providers and Outlets. Emphasis is placed on improving

quality and efficiency versus growing the number of providers in the network.

Goals

This project aims to improve maternal and child health in Nepal by increasing contraceptive

prevalence rate, specifically by increasing access to IUCDs and safe medical abortion services.

Objectives 1. Increase access to safe medical abortion through mid-level providers from GON

certified private clinics

2. Increase access to safe medical abortion through network providers (OB/GYNs)

3. Expand the availability of long- acting reversible contraceptives (LARC)

4. Improve access to IUCD services through the PSI/Nepal network providers

5. Increase productivity and motivation of network providers to insert IUCD

6. Improve quality of services provided by network providers

7. Improve consumer perception and demand for IUCD

8. Improve quality of care in private sector network clinics through the implementation of

Client Record Management (CRM).


Annual report 2018

Accomplished activities in 2018

SN Name of Activities Annual

target Complet

ed in Q4

Total

Completed in

2018

Remarks

1 DHO/DPHO meeting 55 15 53

2 DPAC meeting: 10 2 10

3 Community level advocacy meeting 336 44 391

4 High level Advocacy meeting - 15 72

5 Bhalakusari meetings. 384 55 436

6 Monthly Planning and review meeting

with Staffs 11 3

11

7 Provider/Owner meetings. 5 - 5

8 Quality Assurance (QA) and

Coordinate/ support RQATO 144 9

82

9 Special Service campaign 336 80 340

10 Monthly Meeting with IPC Agent (DIDI) 11 3 11

11 Learning & Review Meeting with

Stakeholders (RHCC Meeting) 5

1

12 Local level Coordination meeting with

Local Government 10 -

9

13 FP Day celebration 5 5

14 Provincial level monitoring visit 2 2 2

15 DPHO/DPAC team Monitoring visit 10 2 10

16 Board Meeting for Program review 2 1 2

17 Monitoring visit by Focal person Regular Regular Regular

18 Monitoring by Board member 2 1 2

19 Ensure FP/IUCD/MA-IEC materials are

available, displayed Regular Regular

Regular

20 RH/VIA Camp - - 8

21 Mid-media activities 55 - 55

22 MA site assessment 10 - 10

23 MA service - 202

24 Ensure Client Record Management

(CRM) and PBCC Visit 677 186

681

25 Monthly HMIS report submitted by

DPHO/ Palikas 55 15

55

26 Achieve projected # of OK IUCD

insertion 5373 990

6549

27 Referral prospective FP client 16883 2953 22427

28 Conduct house hold visit 43280 8251 68201


Annual report 2018

PROJECT GLANCE

Branding

IPC

MASS

Media

IECMaterial

Mid

Media

Advocacy

Meeting

Bhalakusari

M-

Health

Service

Provider

Supply Chain

PBCC

QA

DemandSupply

5. Successes

Increasing trend of positive perception on IUDs

46 private providers offering FP services in different places in 5 districts

Development and roll out of Quality Improvement and Planning Tool for network

providers

Client Record Management (CRM) Smart filing system has been updated for all private

health facility and provider.

Established trend of direct reporting to local Govt. health facility through private

providers.

6. Major Challenges:

Lack of authorized clinics to expanse FP service in remote areas,

Imitated MA site for MA services.

Contact Refer Insertion

43280

168835373

68201

224276549

Cconact, Refer and Insertion: projectionvs achievement WHP-IV-

2018Projection Achievement


Annual report 2018

7. Major Findings:

local Government coordination meeting is necessary for the smoothly implementation

of WHP,

RH/Via camp is necessary for Increasing FP services and integrated health services,

Data verification/validation during PBCC visits is necessary for minimized error,

All DID are actively involved in IPC activities as well as coverage of FP/MA

awareness,

Regular DQA is necessary for minimized error,

Good management of IP in all clinics and fulfilled government standard of health

facilities and quality FP service,

Less male participation in community level activities,

Fortnightly data collection from districts and entry in MIS is necessary for minimize

pressure end of the month.

8. Follow up needed:

Organize RH Camp in each project districts,

Coordination meeting with local stakeholders is much more necessary for systemized

to HMIS reporting system and smooth implementation WHP,

Increase PBCC visit and regular follow up to OK HF for quality improvements and 2IP

update,

Regular PBCC visit with checklist for Overall fulfillment of required HF, quality

services and recording,

Data verification/validation during PBCC visits by DPCs (minimum 2 clinics/ week),

Fortnightly data collection from districts and entry in MIS,

Regular observation of cabinet storage and smart filing at all health facilities,

Regular 2IP update of all HFs and follow up of improvement plan by DPCs,

BI reporting for vendors and tax verification and deposition will be complete in each

month.

WHP Program Support Staffs

SN Name of Staff Title of current position Location (District)

1 Yadu Kumar K.C. Program Manager Neplagunj, Banke

2 Laxmi Kumari Bhandari Admin& Finance Officer Neplagunj, Banke

3 Ashok Chaudhary District Project Coordinator Dang

4 Narayan Lamsal District Project Coordinator Bardiya

5 Yagya Raj Bhatt District Project Coordinator Kanchanpur

6 Mahendra Bam District Project Coordinator Kailali

7 Anju Gurung District Project Coordinator Banke

8 Angila Bhandari M&E Officer/Assistant Neplagunj, Banke

9 Dhana Mahara IPC Champion Banke

10 Renuka Chaudhary IPC Champion Dang

11 Prinkya Chaudhary IPC Champion Kailali 12 Prashnna Chaudhary Support staff Banke


Annual report 2018

Case study

“OK Network changing status and promoting business of provider”

Shyam Kumari Chaudhary belongs from Tulsipur Municipality, Dang. She has a son and

husband, who is also health person (AHW). She is an ANM and trained service provider for from

Shyam Ayurvedic Upachar Clinic. She is providing both IUCD and Implant as temporary long

term FP acting method including other FP services. She joined OK network in 2010 & providing

FP services till the date.

She said that “I am happy and satisfied with OK network because it is turning point of my life”.

My life has drastically changed, since then I joined in OK network. Before joining at OK network

I was completely hopeless and sitting at home with taking care of my child(son). At that time, I

was really unhappy due to the unemployment. I tried many times for a job in Lok sewa aayog

(Public Service Commission) and other offices too but could not get successes. I did not have

enough property for a quality education of my child and also for the treatment of my heart and

liver problems, I had financial crises and there were no any sources of income in my family. But

later on I got a golden opportunity to join OK network and got a training of basic IUCD in

Nepalgunj on 27th June, 2010

After the training of IUCD, I started to work as a service provider from Anjana Medical hall in

Tulsipur. Similarly, in other clinics a provider for three year but couldn't get satisfy working as a

provider in others owned clinic. At the meantime also got Implant training from Ok network on 5

to 12 Nov, 2012. After that I decided to provide both IUCD and Implant service from my own

clinic. I requested my husband to register new medical in our own name so, that we can provide

service smoothly. We got success to register in our own Facility in the name of "Shyam Upachar

clinic together with own pharmacy in the clinic"

In the beginning, i faced many challenges to establish my business. Even, I had too difficult to pay

the rent of the rooms. There were no enough clients and no more business. Clients didn't believe in

us so far. I had to compete with many medical and hospitals nearby. Neither our facility was

legally registered nor do we have doctors.

Now, almost problems have been solved. My clinic is legally registered with facilitation and

advocacy from OK network. I am providing all FP service including IUCD and Implant from my

own facility. I have taken one flat having three rooms in lease for service room, counseling room

and pharmacy. We have one Doctor who comes in weekly basis and served to the clients. Now, I

don't have any financial problems. Generally I am providing average 25 insertions per month

including other FP service. I fully respect the informed choice of the client during FP services. I

have got support Autoclave, Drumset, Perilight, 9 IUD insertion set , one removal set, one Implant

Picture: Shyam Kumari Chaudhay husband –

Mr……in his own pharmacy receiving

commodities from WHP through GERUWA.

Picture: Ms. Shyam Kumari Chaudhary

at her Service Room


Annual report 2018

set, insertion bed, and so many IP commodities and technical support, regular coaching from OK

network and PSI Nepal. Also directly linked with the community through OK DIDI and informed

about my clinic services which have helped me to promote my business. I have also good

coordination with government authorities through OK network which developed a confidence and

motivated for quality service. Now, I have business of Rs. 10,000- 20,000 per day in an average. I

have maintained my all service register, forms and format very well. All the records can be found

easily whenever requires. I am also submitting report of FP services in Government hospital for

governmental records at the end of each month. "

At the end, she would like to thank Ok Network, Geruwa and PSI/Nepal for all this support and

cooperation and very glad for being a part of it and she hopes such kind of

support will be continued in future as well.

“Family planning is not only for birth control also makes the

life cheerful”

Mahendra Bam (DPC- Kailali) ...................

Sangita Shahi (Client) is 26 years young women of Vajani

Muncipality ward no. 6, Kailali, having five family members.

She got married with Sunil and became mother birthing first

child son at age of 17 years. After few years she had got

another child (Daughter). Her husband Sunil Shikar has been

working as local meat shop keeper in his local market.

Previously, she had not knowledge on family planning. During the

visit of Jamuna Khatri (FCHV) in her village, she had Counseled on family planning and safe

abortion. After some days of counseling, there was minilap camp in her village and most of

women in her village went for minilap. She was also thinking about family planning but still

she had not well known about all FP methods. So she didn't want permanent method of FP and

decided to use Depo because she was expecting another child after making few years gap. She

used depo for one year, during that time she faced hormonal effect and was not feeling well. In

the mean time, she visited to OK Didi Shanti Lama of WHP Program, Kailali and got

complete knowledge on family planning methods and interested to use IUCD as FP method.

After using IUCD, she did not get any hormonal effect and living healthier and satisfactory

life.

Unfortunately one day her son of 4 years age had snake bite and she lost her single child. After

few months she visited to OK Didi and shared her incidence and her interest to have another

child. Ok Didi counseled her to remove the IUCD and was removed easily. Within one-year

period, she again gets pregnant, got another child as son for a second time. Again she got

joyful life. After her second child, she again had think IUCD again and got insertion for a

second time. Now, she has two children one son and daughter and living with cheerful life

using IUCD. During, the OK DIDI visit with Sangita, she said " I take cleverness in that time,

if i had gone with minilap, I could not have this cheerful life. At the meantime, i got visit with

you (OK didi) and got complete knowledge on family planning. It was the extra important part

for me to get present condition. I would like to thank you OK didi due to which i liked IUCD

and also refer to my neighbors.

Now, she is the client of advocacy level, motivate other for using IUCD. Till now she has

referred six women from her neighbor for IUCD services. She used to share her community

about important of Family planning.


Annual report 2018

Community Facilitator (DiDi) Monthly meeting

conduct PO Asok Chaudhary in Ghorai Dang district.

Women Health camp conducted in Dang district at

Lamahi Area

PSI Country Representation in Nepal and Partners Organization Member Meeting in Butwal

PSI Nepal Team and 5 number Provincialstakeholder Meeting in Butwal .


Annual report 2018

2. Name of the Project: SAFA Water Project

General Information:

Funded By: Terre Des Hommes , Nepal

Name of PO:


Name of Project SAFA Water Project (improvement of Water Quality and

Sanitation Services in health care facilities and surrounding

communities)

PO's Address:

Gulariya Municlipality-8, Bhansar Road, Bardiya

Working District:

Bardiya

Name of Local

Levels :

1. Badhaiyataal Rural Municipality

2. Bansgadhi Municipality

3. Barabardiya Municipality

Reporting Period:

Fiscal Year 2018

Project Background

Bardiya is one of the Terai district of Nepal bordered to neighboring country India among 20

Districts, It lies in the mid-western development region of Nepal. It covers an area of 2,025

square kilometers of which 750 square kilometers is used for cultivation, 1,250 square

kilometers by forest and rest is by the rivers. There are 6 Municipalities and 2 Rural

Municipalities in the District. According to source of District Development Committee of

Bardiya, 2068 B.S. (CBS 2011) the total population of the district is 426576 among them,

female population is 221496 and male population is 205080.

Bardiya is ranked 35th among 75 districts of Nepal in HDI rating with HDI rating value of

0.466 which is below national average of 0.490. Its residents are mainly ethnic indigenous

Tharu and Madhesi. Migration to India for employment is very high in this district. Bardiya is

one of the most flood-prone districts in Nepal. There is high risk of groundwater

contamination during flood. A study carried out during 2010 revealed that groundwater source

in Bardiya is contaminated with low level of arsenic contamination.Thus water quality is an

issue to be addressed in Bardiya.

There are altogether 33 Health Care Facilities (HCF) (excluding 1 district hospital) in Bardiya.

HCF ranges from 3-7 per municipality. There are 3 types of HCF 1) HCF without birthing

services 2) HCF with normal delivery services 3) HCF with Basic Emergency Obstetric and

Newborn Care (BEmONC) services. A formal community mechanism called Health Facility

Operations and Management Committee (HFOMCs) manages these HCFs. The 9-member

Committee includes representation from elected ward authorities, school, local business

persons, social workers, local health expert, women etc.The WASH situation in most of the

Health care facilities is still below par and the situation in Bardiya is no different in terms of

adequate provision for WASH facilities. A study carried out by WaterAid in early 2016 in

three districts including Terai and hills in order to assess the WASH in HCF for both private

and government HCF (primary HCF to hospital/nursing home) in Nepal1 found that only 55%

of the health institutions had provision for drinking water treatment, none of the health

institutions had a mechanism for monitoring of drinking water quality in any way. Among

observed toilets, the majority was gender-segregated but none of the toilets were child and

differently abled-friendly. Hand washing stations or facilities were available in 75% of the

total toilets observed, out of these only 55% of hand washing stations had soap and water

available. Color-coded dustbins for waste segregation were not used in most of the health


Annual report 2018

institutions. The major challenges faced in maintaining the status of WASH at Health

Institutions were: lack of motivation among both clinical and support staff; lack of skilled

human resources; lack of maintenance system and no defined funds for operation and

maintenance.

Objective:

To improve water quality, sanitation and hygiene situation in 30 HCF and community.

Expected Results:

Final Result (FR) 1: System strengthening for WASH in Health Care Facilities

Strengthened local health system to improve the water, sanitation and hygiene services and

ensure water quality meet national drinking water quality standard

Final Result (FR) 2: Advocacy at National, Provincial and Municipal level

Increased prioritization and commitment by the government authorities towards improved

better WASH conditions in HCFs

Final Result (FR) 3: Improving WASH in Communities

Improved practice and behavior change in community on Water, Sanitation and Hygiene

Major Activities

Systems strengthening and local budget mobilization

WASH services delivery in HCF and community

Community empowerment and Capacity building

Gender and social Inclusion

Water Quality

Advocacy

Achievements by indicators/Activities:

Indicator/Activities

Target for the

reporting

period

Actual achievement

during the reporting

period

Cumulative

target to date

Cumulative

achievement

to date

Formation of project steering

committee

3 3 3 3

Support in HFOMC meeting 11 11 11 11

Project Launching workshop 1 1 1 1

Capacity building and

awareness activities in the

community

10 10 10 10

Community empowerment and

social mobilization activities

6 6 6 6

RANAS survey in the

community

5 5 5 5

WASH Assessment (FACET) 3 3 3 3

Monitoring by Board/Partner 3 3 3 3

Problem Encountered During Implementation of Activities


Annual report 2018

Incentive oriented health facility staffs and HFOMC members due to which not bearing

responsibilities towards construction activities.

Due to lack of guided modules and training materials, some of the planned activities

couldn't be achieved on time.

Due to lack of some experience in staffs, difficulties in field mobilization.

Lessons Learned During Project Implementation

Strong and sound coordination co-ordination with local levels, Health coordinators, health

incharges, ward, HFOMC etc helps to run planned activities smoothly.

Capacity building activities to staffs and board is must to run project smartly.

Success story:

"A will power to be changed"

My Name is Mandira Bote and I live in Bansgadhi Municipality ward no 6. I belong to

marginalized family having 6 family members including my husband, father in-law, mother

in-law and 2 children. Our whole family depends on the income of my husband. He works as a

rickshaw driver around Bansgadhi areas. We had hard days to have meal each day.

During the period, Geruwa rural awareness called vacancy for Field supervisors in which I

applied for desired post. I was among those who have high will power to work but having no

experiences. Finally I selected as the desired post for Bansgadhi areas. I work as a field

supervisor at selected communities of Bansgadhi Municipality in close co-rdination with

respective health facilities.

In this working period, I learned many things which has helped me to gain more experiences,

exposures and confident. Now my family and husband are happy to share my income in house

hold purpose and we have started our little business too. Finally I would like to thank Geruwa

, Project team and all other for trusting me and regular support.

Thank you!!!!

SAFA Water Project support staff S.N Name Position Education Work

Experienc

e

Field Area Home Address

1 Bidhaya Kc

DPC B.P.H 5 years All Bardiya

District Tharmare-4, Salyan

(Ba.Na. Pa-2, Salyan)

2 Suraj Rai Finance &

Logistic Officer B.B.A 6 years Office Madhuban-3 , Bardiya

3 Daman

chaudhary Wash &

Technical officer

D.C.E 2 years All Bardiya

District Rajapur-9 , Bardiya

4 Durga Kc Field Supervisor +2 1 year Badhaiyataal Rural

Municipality Badhaiyataal-2,

Bardiya 5 Mandira

Bot Field supervisor +2 5 months Bansgadhi

Municipality Bansgadhi-6, Bardiya

6 Hari

Prasad

Tharu

Field Supervisor Bachlor 5 years Barabardiya

Municipality Barabardiya-1,

Bardiya

Some Activities Photos

Geruwa Annual Report 2018-2019 16

Figure 1 Closing Remarks By DCC vice-chairperson on project launching workshop

Figure 2 Conducting RANAS survey on Madhesi community

Figure 3: TDH visit including CR mr Julien Buttler to Kalika Health Post


3. Name of the Project: Gender Transformative Community Resilient

(WASH)

Funded By: Plan International, Nepalgunj, Nepal

Name of PO:


Name of Project Gender Transformative Community Resilient (WASH)

PO's Address:

Nepalgunj Sub-metropolitan -Koriyanpur, Nepalgunj, Banke

Working District:

Banke

Name of Areas:

Banke: Janki Rural Municipality Ward No-2 Belbhar, Duduwa Rural

Municipality Ward No-5 Kamdi, Khajura Rural Municipality Ward No-4

and 5

Bardiya: Rajapur Municipality Ward No-5 and 6

Reporting

Period:

Fiscal Year 2018

Project Background Sanitation generally refers to the provision of facilities and services for the safe disposal of

human urine and feces. The word 'sanitation' also refers to the maintenance of hygienic

conditions, through services such as garbage collection and wastewater disposal. (Who)

The overall purposes of sanitation are to provide a healthy living environment for everyone,

to protect the natural resources (such as surface water, groundwater, soil), and to provide

safety, security and dignity for people when they defecate or urinate. We also have a human

right to sanitation. For any social and economic development, adequate sanitation in

conjunction with good hygiene and safe water are essential to good health. Lack of proper

sanitation causes diseases. Most of the diseases resulting from sanitation have a direct relation

to poverty. The lack of clean water and poor sanitation causes many diseases and the spread

of diseases. Diarrhea, Anemia, malnutrition, Ascariasis (a type of intestinal worm infection),

Campylobacteriosis, Cholera, Cyanobacteria toxins, Dengue, Hepatitis, Japanese encephalitis

(JE), Leptospirosis, Malaria, Ringworm or Tinea (a type of intestinal worm infection),

Scabies, Schistosomiasis, Trachoma, Typhoid and paratyphoid enteric fevers, Polio is another

disease which is related to improper sanitation and hygiene.

Benefits of improved sanitation extend well beyond reducing the risk of diarrhoea. These

include: reducing the spread of intestinal worms, schistosomiasis and trachoma, which are

neglected tropical diseases that cause suffering for millions, reducing the severity and impact

of malnutrition; promoting dignity and boosting safety, particularly among women and girls;

promoting school attendance: girls’ school attendance is particularly boosted by the provision

of separate sanitary facilities; and potential recovery of water, renewable energy and nutrients

from faecal waste.

Sustainable Development Goal (SDG) also known as Global goal, has specified water and

sanitation as one of the major factor and global goal. Goal no 6, clean water and sanitation has

become guiding principle for sanitation worldwide.

Water and sanitation are at the very core of sustainable development, critical to the survival of

people and the planet. Goal 6 of SDG not only addresses the issues relating to drinking water,

sanitation and hygiene, but also the quality and sustainability of water resources worldwide.

In 2015, 4.9 billion people globally used an improved sanitation facility; 2.4 billion did not.

Among those lacking adequate sanitation were 946 million people without any facilities at all,

who continued to practice open defecation. In 2015, 68 per cent of the global population was

using improved sanitation facilities compared to 59 per cent in 2000. Nevertheless, the unsafe


management of fecal waste and wastewater continues to present a major risk to public health

and the environment.

Community-Led Total Sanitation (CLTS) an approach to achieve behavior change in mainly

rural people by a process of "triggering", leading to spontaneous and long-term abandonment

of open defecation practices using toilets and maintaining toilets, personal hygiene, use of

safe drinking water, clean house and waste management, Institutional cleanliness and

environmental sanitation will be the solution for the problems.

In much of the country in the world, women and girls are traditionally responsible for

domestic water supply and sanitation, and maintaining a hygienic home environment. As

managers at the household level, women also have a higher stake in the improvement of water

and sanitation services and in sustaining facilities.

Achievements by indicators

Indicator

Target

for the

reporting

period

Actual

achievement

during the

reporting

period

Cumulative

target to

date

Cumulative

achievement

to date

Baseline survey in community 6 6 6 6

Training on gender transformative, disable and inclusive total sanitation/hygiene promotion CoC, triggering to Triggerers/volunteers (3 days) (25prsX3days) 1 1 1 1

Orientation on gender transfromative, disable and inclusive total sanitation for W/T-WASH-CC 6 6 6 6

Orientation on total sanitation guideline, SDG 6 for W-WASHCC 6 6 6 6

Orientation to 1000 days pregnant women & mothers, and families on nutrition sensitive WASH - multiple use of water, kithchen gardening, nutrition messaging 6 6 6 6

Learning Sharing Exposure visit out of the district 1 1 1 1

Planning meeting with R/MWASHCC( Duduwa RM- Jnaki RM - Rajapur Municipality 2 2 2 2

Gender transformative, disability and inclusive total sanitation RM/W -WASH Plan preparation meeting/workshop at RM/W- level 2 2 2 2

Training on MHM product (reusable sanitary pad) production, marketing for Women entrepreneurship development 1 1 1 1

Training on MHM and skill for preparing reusable sanitary pads to adolescent girls and young women 12 12 12 12

Orientation on MHM harmful practices especially to father, mother, in-laws etc. 6 6 6 6

Orientation on MHM discriminatory/harmful practices especially to CoC – religious people 1 1 1 1

Hand washing demostration material 30 30 30 30

Toilet improvement matrials 60 60 60 60

Enviroment cleaning material 60 60 60 60

water quality test 100 100 100 100

T-WASH monitoring in adjoinging toll 6 6 6 6

Rally Program by youth, children and local active groups 12 12 12 12

https://en.wikipedia.org/wiki/Behavior_change_(public_health)

https://en.wikipedia.org/wiki/Open_defecation


Extra curricular activities cluster level to promote child/ womens/ youths 12 12 12 12

Joint monitoring by RM-WASHCC 3 3 3 3

Review meeting of RM-WASHCC 2 2 2 2

Joint monitoring by T-WASHCC 18 18 18 18

Meeting of T-WASH-CC 30 30 30 30

Review meeting of W-WASHCC 18 18 18 18

Total sanitation Information publication by local newspaper ( Banke and Bardiya) 10 10 10 10

Radio Talk show on Total sanitation and MHM 3 3 3 3

Information broadcast by local TV 1 1 1 1

Radio jingle by local FM 730 730 730 730

Displaying messages through hoarding board, flex print,/ wall painting, posters, calendars 24 24 24 24

Celebration of national and international days 12 12 12 12

Talk program, community dialogue on hygiene, disability, MHM discriminatory/harmful practices especially to father, mother, in-laws etc.(1 day), gender issues in WASH, harmful practices on MHM and disability and inclusion at R/M/W level 6 6 6 6

World disable day- 2018 ( support of disable related awareness IEC material publication (Flex Print and Banner) 1 1 1 1

Community support for environment improvement ( Indicators improvements) 6 6 6 6

Social Audit ( Organization Support-Sharing Basis) 1 1 1 1

Gender Transformative School WASH program planning b) Baseline data collection/assessment of selected schools c) Formation/reformation of school child club 8 8 8 8

School level-WASH-CC formation 8 8 8 8

Orientation to SMC, PTA, Teachers, Child Club on School WASH 8 8 8 8

School sanitation Plan and star displaying 8 8 8 8

Formation of MHM club and Training on school WASH including MHM to child club 8 8 8 8

Training on MHM/ preparing reusable sanitary pads and leadership training to MHM Club (3 day district level) 1 1 1 1

Orientation on MHM by MHM Club member to adolescent girls in school 16 16 16 16

Re-view meeting with school S-WASH-CC (Quarterly) 30 30 30 30

Jointly meeting of Child Club and MHM Club (Bio Monthly) 60 60 60 60

Hygiene and sanitation promotion activities by child clubs/ MHM Clubs 12 12 12 12

Celebration national and international days in school level 12 12 12 12

support to make school enabling (Clean, green, gender & disability friendly, tiffin eating area, garden,) 6 6 6 6

Repair and improvement for school toilet and water supply facility, hand washing station 6 6 6 6


MHM facility (MHM corner, used pads washing , water supply, avability of Pad, used pads collection and safe disposal) 6 6 6 6

Established MHM Center at school for easy access of MHM Facilities and practice to adolescent girl 6 6 6 6

New water supply (tube well) in schools 6 6 6 6

Joint monitoring of W-WASH-CC, S-WASH-CC (school level) 2 2

Parents/Caregivers/Guardians/ECD Management Committee monthly meeting in ECD center 311 311 311 311

(Breast feeding week, world health day, iodine month, safe motherhood week, nutrition week, International disability day & FCHV day) 5 5 5 5

5 days TOT on RCES to ECD facilitator 1 1 1 1

2 Days Refresher training to ECD Facilitators (New Location) 3 3 3 3

Review meeting of ECD facilitator (after completion of each module) 1 1 1 1

Annual / semi-annual and quarterly review meeting 1 1 1 1

IEC/BCC/Training Material printing and social and behavior change communication 1 1 1 1

Key Life Events 50 50 50 50

Food Demonstration (super flour Preparation, Posilo Jaulo , Farsiko kheer etc)

25 25 25 25

Healthy Baby Competition 25 25 25 25

Flex of food Demo with key message 10 10 10 10

Support for review meeting, campaign, and workshop at local, District, Provincial and Central Level. 1 1 1 1

Program Support Staffs

Water, Sanitation and Hygiene (WASH) Parenting Education (PE)

SN Name Gender Qualification Position Year of

experience 1 Keshav Rana M MPH Team Leader (WASH &

Health) 2 Yrs.

2 Nirmal KC M HA/MA in Sociology

WASH Project Officer 5 Yrs

3 Pawan Chaudhary M B.com Account & Admin Officer (WASH & Health)

3 Yrs

4 Chooodamani BM M Bachelor Program Supervisor 4 Yrs 5 Yogmaya Bhandari F Bachelor WASH Facilitator 1 Yrs. 6 Birawan Shekh M Intermediate WASH Facilitator 3 Yrs. 7 Anu Chaudhary F Nursing Health Facilitator 3 Yrs 8 Purna Kala Sunam F Nursing Health Facilitator 3 Yrs 9 Bhisma Pd. Lodh M Intermediate School WASH Facilitator 4 Yrs

10 Sushma KC F ANM PE Facilitator 4 Yrs 11 Urmila Chaudhary F Intermediate PE Facilitator 2 Yrs 12 Sabita Tharu F Intermediate PE Faciliator 2 Yrs 13 Gyan Bahadur

Chaudhary M Intermediate WASH Facilitator 1 Yrs


Success Story Shivapuri school :

Way To Achieve Star Approach

Banke is bordered on the west by Bardiya district. Rapti zone's Salyan and Dang

Deukhuri Districts border to the north and east. To the south lies Uttar Pradesh, India,

a country in Asia; East of Nepalgunj the international border follows the southern edge

of the Dudhwa Range of the Siwaliks. There are one Sub-metropolitan city, one

Municipality and six Rural Municipalities in Banke District. Majority of population

inhabiting in this district are Madheshi, Tharu & Muslims and other are chhetri,

Brahmin, Dalits etc. Most of the people speak Nepali language but mostly Hindi &

Awadi is spoken. Major occupation of the people are labour & most of the people

works in bricks factories, other industrial areas etc.

Among 8 local levels, Janki Rural Municipality -1Saigaun which is 9 km far in western

direction from Nepalgunj market and there lies a school named Nepal Rastriya

Adharbhut Vidhyalaya where majority of children belongs to mix community. And this

is the story of this school where, some months before there were no proper sanitation

facilities, proper drinking water, menstrual hygiene management etc. This were not

only the problems of students but teachers also have to deal with the same problems.

Students and teachers have to queue in the open field for defecation and urinal. During

the menstrual period girls have to leave the school at the mid and misses her next 3-4

days school attendance. Only a hand pump was there to drink water and other use.

Plan International Nepal & Implementing partner Geruwa Rural Awareness

Association, Bardiya is implementing Gender Transformative Community Resilient

project in Banke and Bardiya. Specifically on Rajapur of Bardiya & Janki, Khajura&

Duduwa of Banke. As a part of program certain awareness level activities at schools

and some construction/rehabilitation works were carried out in the active involvement

of child clubs, SMC/PTA, teachers, MHM club etc functioning within the school.

During implementation of project, gender friendly toilets, drinking water supply, hand

washing stations, MHM facilities and waste management bins were made available.

Not only the availability but also awareness activities considering sustainability were

conducted. Nowadays every students and teachers are enjoying the facilities. In active

participation of child clubs and MHM clubs, regular participatory WASH related

activities are being performed with formation of workplan.

https://en.wikipedia.org/wiki/Bardiya_district

https://en.wikipedia.org/wiki/Rapti_zone

https://en.wikipedia.org/wiki/Salyan_District_(Nepal)

https://en.wikipedia.org/wiki/Dang_Deukhuri_District



https://en.wikipedia.org/wiki/Uttar_Pradesh

https://en.wikipedia.org/wiki/India

https://en.wikipedia.org/wiki/Dudhwa_Range


Slowly the problems related to drinking water, sanitation facilities etc has been

reducing day by day & school itself is approaching towards achieving Model school.

After monitoring and evaluation from SWASH and W-WASH CC monitoring based

on monitoring checklist, school had achieved 1 star & proceeding towards achieving 2

star. Many stakeholders and plan partners had visited the school & appreciated about

the achievement as school is situated in between the mixed community.

“I am very much thankful to Plan and Geruwa for providing all the awareness

activities and construction activities as we were facing lots of problems regarding

sanitation and drinking water. But nowadays we are not facing those types of problems

and students missing classes due to Menstural hygiene is negligable” Dorna Thapa,

Principal , Ne.Ra.Ad.School,Shivapuri-Banke



Monitor of condition of Total sanitation indicators in each and

every household.

Picture as of clean home in community level, Total Sanitation

indicators improvement model of Janki RM, Chaudharypur, Banke.

Community visit by Chairperson, Vice Chairperson and Health

person as well as RM-WASH-CC Members in Chaudharipur, Janki Rural Municipality of Banke.

Speech competition in Kamdi High School, Banke.

Geruwa Annual Report 2018 24

4. Name of the Project: Urban Sanitation and Hygiene for Health and

Development (Phase out 2018 November)

Funded By: SNV Nepal

Name of PO:


Name of Project Urban Sanitation and Hygiene for Health and Development

PO's Address:


Working District:

Banke

Name of Areas:

13 Government school of Nepalgunj Submetropolitan, Banke

Reporting

Period:

Fiscal Year 2018

Project Background Sanitation generally refers to the provision of facilities and services for the safe disposal of

human urine and feces. The word 'sanitation' also refers to the maintenance of hygienic

conditions, through services such as garbage collection and wastewater disposal. (Who)

The overall purposes of sanitation are to provide a healthy living environment for everyone, to

protect the natural resources (such as surface water, groundwater, soil), and to provide safety,

security and dignity for people when they defecate or urinate. We also have a human right to

sanitation. For any social and economic development, adequate sanitation in conjunction with

good hygiene and safe water are essential to good health. Lack of proper sanitation causes

diseases. Most of the diseases resulting from sanitation have a direct relation to poverty. The lack

of clean water and poor sanitation causes many diseases and the spread of diseases. Diarrhea,

Anemia, malnutrition, Ascariasis (a type of intestinal worm infection), Campylobacteriosis,

Cholera, Cyanobacteria toxins, Dengue, Hepatitis, Japanese encephalitis (JE), Leptospirosis,

Malaria, Ringworm or Tinea (a type of intestinal worm infection), Scabies, Schistosomiasis,

Trachoma, Typhoid and paratyphoid enteric fevers, Polio is another disease which is related to

improper sanitation and hygiene.

Benefits of improved sanitation extend well beyond reducing the risk of diarrhoea. These

include: reducing the spread of intestinal worms, schistosomiasis and trachoma, which are

neglected tropical diseases that cause suffering for millions, reducing the severity and impact of

malnutrition; promoting dignity and boosting safety, particularly among women and girls;

promoting school attendance: girls’ school attendance is particularly boosted by the provision of

separate sanitary facilities; and potential recovery of water, renewable energy and nutrients from

faecal waste.

Sustainable Development Goal (SDG) also known as Global goal, has specified water and

sanitation as one of the major factor and global goal. Goal no 6, clean water and sanitation has

become guiding principle for sanitation worldwide.

Water and sanitation are at the very core of sustainable development, critical to the survival of

people and the planet. Goal 6 of SDG not only addresses the issues relating to drinking water,

sanitation and hygiene, but also the quality and sustainability of water resources worldwide. In

2015, 4.9 billion people globally used an improved sanitation facility; 2.4 billion did not. Among

those lacking adequate sanitation were 946 million people without any facilities at all, who

continued to practice open defecation. In 2015, 68 per cent of the global population was using

improved sanitation facilities compared to 59 per cent in 2000. Nevertheless, the unsafe


management of fecal waste and wastewater continues to present a major risk to public health and

the environment.

Community-Led Total Sanitation (CLTS) an approach to achieve behavior change in mainly

rural people by a process of "triggering", leading to spontaneous and long-term abandonment

of open defecation practices using toilets and maintaining toilets, personal hygiene, use of safe

drinking water, clean house and waste management, Institutional cleanliness and environmental

sanitation will be the solution for the problems.

In much of the country in the world, women and girls are traditionally responsible for domestic

water supply and sanitation, and maintaining a hygienic home environment. As managers at the

household level, women also have a higher stake in the improvement of water and sanitation

services and in sustaining facilities.

Achievements by indicators

Indicator

Target

for the

reporting

period

Actual

achievement

during the

reporting

period

Cumulative

target to

date

Cumulative

achievement

to date

Indicatorwise weekly meeting (2 indicators only in an event) 13 13 13 13

Display of Action Plan of SMART Team 13 13 13 13

Meeting with parents and Teacher , SMC (responsible for flags) 13 13 13 13

Campaign by SMART Team (Indicator wise) in school catchment area 13 13 13 13 Deushi, Bhailo for Sanitation fund raising by students 2 2 2 2

Drama, Essay, Poem , song and cultural dance , quize contest (once a month) 13 13 13 13

Meeting with Tole Sudhar Samitti and Program Supervisor for creating enabling environment in school and its catchment area 13 3 13 3

Inter school visit and interaction ( at least 2-4 schools) 4 4 4 4

Indicator wise Flag Score analysis ( 6 indicators)- 2 times in 3 months ( Oct-Dec 2018) 13 13 13 13 Secondary level wash conference 6 6 6 6 Orientation to LCB staff on SMART School 1 1 1 1 SMART School orientation to Teachers, HM, SMC, PTA (Based on 7 FATS) 13 13 13 13 Team formation for SMART School 13 13 13 13

Orientation to members for SMART School 13 13 13 13 Material support to SMART School 13 13 13 13

Sanitation Conference 13 13 13 13 Promotion activities 13 13 13 13

Prize and Recognition 13 13 13 13

https://en.wikipedia.org/wiki/Behavior_change_(public_health)

https://en.wikipedia.org/wiki/Open_defecation


Fund raising activities 13 13 13 13

MHM orientation to students ( all secondary school -covering whole municipality) 20 20 20 20 Documentation materials 1 1 1 1

Problem solving and leadership to SMART team Members 5 5 5 5

Sanitation Campaign from students to school catchment area/ water week celebration 5 5 5 5

Follow up meeting with SMART TEAM, Teacher and guardians ( Sanitation cafe, wash indicator and sub indicators progress) 5 5 5 5

Program Support Staffs


SN Name Gender Qualification Position Year of

experience 1 Ramrup Kaushal M MA in

Sociology Program Coordinator 8 Yrs

2 Subash Chaudhary M BBS Account & Admin Officer 1 Yrs 3 Gaffar Ali Behena M MA Supervisor 4 Yrs 4 Shobha Ram Kurmi Bachelor Supervisor 2 Yrs.

5 Kokila Khatri Intermediate Supervisor 4 Yrs.

Orientation on MHM to adolescent in Private School of Nepalgunj Banke

Total sanitation indicators wise group formation in Sarswoti School and orientation on School WASH.

Quiz contest with different school in sarswoti school, Nepalgunj

Sanitation conference in school level for sanitation Fund generate and show their cultural program.


5. Name of the Project: People Participatory Poverty Alleviation Program.

(Phase out 2018 April)

General Information: Funded By: Poverty Alleviation Fund (PAF), Tahachal Kathmandu, Nepal

Name of PO:


Name of Project People Participatory Poverty Alleviation Program

PO's Address:

Gulariya Municlipality-8, Bhansar Road, Bardiya

Working District:

Bardiya

Name of

Municipality and

Rural Municipality :

6. Barbardiya Municipality in Baniyabhar and Dhadhwar

7. Basagdi municipality in Daudhakala, Beluwa and Chepang

8. Badaiya Tal Runral municipality in Kalika

9. Rajapur Municipality in Bhimmapur

Gulariya Municipality in Mahamadpur

Reporting Period:

Fiscal Year 2017/ 2018

Project Background

Bardiya is one of the terai district of Nepal bordered to neighboring country India among 20

Districts, It lies in the mid-western development region of Nepal. It covers an area of 2,025

square kilometers of which 750 square kilometers is used for cultivation, 1,250 square kilometers

by forest and rest is by the rivers. There are 31 VDCs and a municipality in the District and the

Comprehensive Package for Migrants and their Families project covered all VDCs and

municipality. According to source of District Development Committee of Bardiya, 2068 B.S.

(CBS 2011) the total population of the district is 426576 among them, female population is

221496 and male population is 205080.

For the alleviation of poverty in disadvantage community, Geruwa Rural Awareness Association

Bardiya has been implementing the People Participatory poverty alleviation program in the

partnership of Poverty Alleviation Fund (PAF) with close coordination with DDC since March

2009 to till now. Project has been successfully running by GERUWA with coordinating the

various stakeholders to achieve the goal and objectives of project. Besides this project has been

supporting and contributing to achieve national goal in the sector of Income Generation and

Infrastructure based on Community Organization.

There are two types of program Regular program and pocket area development program which is

implementing Geruwa Rural Awareness Association, Gulariya Bardiya supported by Poverty

Alleviation Fund, Tahachal Kathmandy. Both program details are given below.

Regular program

Social mobilization

Capacity building

Income generation

Small infrastructure development program

Innovative program

Pocket area development program

Skill development program

Commercial pocket area development program

Infrastructure development program


Achievements by indicators: Indicator

Target for the

reporting

period

Actual achievement

during the reporting

period

Cumulative

target to date

Cumulative

achievement

to date

Regular program

CO formation and agreement between CO and PAF (Income Generation)

7 7 207 207

Infrastructure constructive sub-Projects

2 2 71 71

Fund released to COs for Income Generation from the PAF

7,96,7600 7,96,7600 9,11,09,750 9,11,09,750

Co's Members Contribution for Income Generation

76,976

76,976

63,29,139 63,29,139

Fund released to COs for Infrastructure Projects from the PAF

48,27,987 48,27,987 3,55,92,548 3,55,92,548

Co's Members Contribution for Infrastructure Sub-Projects

9,65,597 9,65,597 1,16,46,199 1,16,46,199

Capacity Building training to COs

2 2 18 18

Capacity Building Training to Pos

1 1 4 4

District level joint monitoring 1 1 5 5

First preliminary Meeting of Co-Operative to Cos

0 0 6 6

1day co-operative orientation to Cos members

0 0 25 25

VDC/Ward level Network Formation

14 14 14 14

Fresh Veg. Pocket area Development Program

2 2 8 8

Pig Product Pocket area development Program

1 1 12 12

Numbers of Community Organization Public Auditing

200 163 200 163

No. of LRPs trained and providing services to COs

14 14 14 14

No. of CO members accessing RF more than two times

1228 1228 1228 1228

Monitoring /Supervision by other stakeholders

1 1 9 9

Monitoring /Supervision by PO 7 7 18 18


board No. of success stories submitted 3 4 15 22

Total CO members (of COs household having agreement)

196 196 4650 4650

Total CO s Populations(of COs Population having agreement)

1274 1274 30591 30591

Pocket area development program

Shed construction 50 38 50 38

Pig raising 150 83 50 83

Entrepreneur development 50 40 50 40

Shed management training 1 1 1 1

Barsim grass production training 1 1 1 1

Monitoring by PO 13 13 13 13

Problem Encountered in social mobilization

Members of Community Organization has not invested loan as their demanding which that

have felt difficult to change on community organization's members life level.

Mostly members have been uneducated to difficult conducting the accounting system in the

community Organization.

Pointing problem in the Bank statement, account changing and account management in the

community Organization.

In Small Community Infrastructure Development Sub projects, Community members are not

able to implement sub projects and unknown about legal process.

Lessons Learned working with community

Members of Community Organization have got to be an active, interest and curiosity for

income generation and infrastructure program if partner organization, Poverty alleviation

fund and other stakeholders regular monitoring to the cos.

With Strong coordination with VDC wise Network, COs members and other concerning the

line agency going in the real field by the supervisor and coordinator of partner organization.

Whether Subjective Sub-Committee have formatted in the Community Organization have

worked, actively there would have implemented the income generation and Infrastructure

effectively in the Every Community Organization level.

Farmers have been successes to working in their trading as the business Planning.

Make cos plan before Identify member’s interest and developing their commodity business

plan.

Topic of the story :

"Tailoring business change my life style"

My Name is Punam Chaudhary and I live in previous Baniyabhar VDC ward No.-6, and now

Bara Bardiya Municipality ward no. -3, Bangaiphata. we live 4 family members in my family 2

sons including my husband. We have 5 kattha registered land which was contributed by father.

Because of small size of land we cannot grow sufficient crops so we are suffering in ultra poor.


Before six years ago we formed Laxmi community organization through people participatory

poverty alleviation program technical support by Geruwa Rural Awareness Association, Bardiya

and orientation about program through staff and i fell well about program. I get chance to be a

president of this Cos. Supporting by all cos members we make plan for income generation

program, develop business plan individually and we make financial and technical proposal to

submit to PAF for Agreement between PAF and CO. I make plan for skill development training

of tailoring. After completion this training. I took loan Rs 50000.00 from my Community

Organization and start tailoring. Slowly progressed my tailoring business and I success to pay

that loan within a year which i take and again i took loan Rs. 60000.00 and I get chance to

increase my business. Time was going so on and some friends were proposed me to teach

tailoring. I purchased 12 tailoring machine to teach tailoring and i start teaching in two groups.

30 trainees are taking training about tailoring it means 15/15 trainee per groups. I got benefit Rs.

10000.00 to 12000.00 per month. Now i am very happy. I success to sent private school both

sons and also success to trained to my husband about house mechanic. I decided to increase my

tailoring business. So i would like to thanks to Poverty Alleviation Fund and Geruwa Rural

Awareness Association to providing Revolving Fund and technical support. Thank You.

"Tea soap increase my income through Revolving fund"

36 years old Subrani Tharu and her Family Members who are resident on 6 kilometre east far

Mohammadpur VDC-8, Bhaisahi Tole from Bardiya district headquarter. She has six Members

in her family where includes her husband, father, mother, daughters and a son. First, she had

neither any types of an opportunity of employment and farming land nor had knowledge and

skills about any occupation. She used to work as a labour where she got 250 rupee as

remuneration per day from she and her husbands working. She worried about her family how

bring up the children because of she had no any option without this condition. So that her family

members had been difficult to mouth to mouth in her daily life by her and her husband's earning

resource. Before some yesrs ago Geruwa, Bardiya’s staff came to implement People

participatory Poverty Alleviation Program which is supported by World Bank and PAF.

Including my villagers, She had included as a member in the Ganga Community Organization in

the Mohammadpur VDC-8, Bhaisahi of Bardiya district. and i also get opportunity to be a

member and skill development training which is technical support by Geruwa, Bardiya. After

that i start tea soap with Rs. 18000.00 which was Rs. 15000. 00 was revolving fund loan and Rs.

3000.00 myself. I a lot of struggle and lost more time in this occupation. However, i did not back

and working continues. After some years later, My monthly income is Rs. 12000.00 to 15000.00

per month. After paying this loan get chance to take large size of loan and increase my

occupation. Now, easy to collect expenditure to daily life and also easy to send private school my

both children’s. I success to make 4 room RCC Building and a motor bike also. We both family

busy in this occupation no need to go to india to earn money so revolving fund change our

lifestyle. Thanks to World Bank PAF, Tahachal Kathmandu and Geruwa, Baridya to providing

such types of opportunities.

PAF Project support staffs S.N Name Position Education Work

Experience

Field Area Home Address

1 Kishor Kumar Tharu

Program Coordinator

MA (RD) 8 years

Bardiya District

Badhaiyataal Rural Municipality-6,

Bardiya 2 Narayan Pd.

Chaudhary Social Mobilizer

B.ED 11 yers Mohammadpur VDC

Rajapur Municipality-

Baridya 3 Ranjana Dahit Social

Mobilizer M.ED. 5 years Rajapur

municipality Rajapur

Municipality- Baridya


4 Kanchan

Chaudhary Social

Mobilizer B.B.S. 4 years Dhadhawar

VDC Rajapur

Municipality- Baridya

5 Ratna pandey Social

Mobilizer I.A. 6 years Baniyabhar

VDC Bara Bardiya

Mucicipality, Bardiya 6 Laxmi

Dhamlahawa Social Mobilizer

I.A 3 years Deudhakala VDC

Bansgadhi Municipality-

Bardiya 7

Asmita

Chaudhary Social Mobilizer

B ed. 3 years Kalika VDC Madhuban

Municipality Bardiya

8 Ram Bahadur

Tharu Social Mobilizer

Bachelor 23 years Belwa VDC Bansgadhi

Municipality-

Bardiya 9

Kush Bahadur Tharu

Social

Mobilizer I Ed. 3 years Belwa VDC Gulariya

Mucicipality Bardiya

10 Krishna

Bahadur

Dhakal

VET JTA I Ed. 3 years Pig raising

pocket area

program Deudhakala

Bansgadhi

Municipality-

Bardiya 11

Santosh

Chaudhary Market

facilitator B. Ed

3 years Pig raising

pocket area

program Deudhakala

Badhaiyataal Rural

Municipality-6,

Bardiya


Geruwa Board member monitoring Pocket area Mohanpur Pig forms.

Geruwa Board member visit at piggery home.

Program area Local community and Geruwa Board Member Meeting about activities issues.

Pig form in Mohanpur Pocket area Bardiya.


6. Name of the Project: Responsive Care and Gender Transformative Parenting General information

Funded By: Plan International, Nepalgunj, Nepal

Name of PO:


Name of Project Responsive Care and Gender Transformative Parenting

PO's Address:


Working District:

Banke

Name of

Municipality and

Rural municipality

Banke: Duduwa RM, Bageshwori RM, Nepalgunj Submetropolitan,

Janki RM

Bardiya: Barbardiya RM, Rajapur RM,

Reporting Period:

Fiscal Year 2018

Project Background Health care services during pregnancy and childbirth and after delivery are important for the survival

and well-being of both the mother and the new born baby.Mother and children constitute a large

group and also are vulnerable or special- risk group. The risk is connected with childbearing in the

case of women and growth, development and survival in the case of infant and children.

Maternal mortality reduction has also been a global, regional, and national commitment, with a vital

role to be played in the Agenda for Sustainable Development. A major target under Sustainable

Development Goal 3 is to reduce the global maternal mortality ratio to less than 70 per 100,000 live

births. Almost all maternal deaths (99%) occur in developing countries (WHO 2016). In Nepal

MMR is estimated to be 170 per 100,000 live births (Demographic profile-014) and 239/100000 live

births (NDHS, 2016), and 84% of women received ANC from a skilled provider for their most

recent birth. Doctors were the major service providers (43%), followed closely by nurses or auxiliary

nurse midwives (41%) (NDHS, 2016).Overpoweringly, half of the Nepali women (43%) gives birth

at home under unhygienic conditions, with untrained attendants. Postpartum women received PNC

check up within 24 hours is 48 and women who had 3 PNC check up according to protocol is 20%

(DoHS).Infant mortality rate 32 and under five mortality rate 39 per thousand respectively (NDHS

2016).

The contraceptive prevalence rate (CPR) for modern family planning method is 43% at nati-onal

level in fiscal year 2073/74.Project started with coordination meeting between Plan/GERUWA,

DPHO, local government and HP of program implementation area. Briefing of project

implementation plan, strategy and activities to Health Officer, Health facilitator and FCHVs.

Pregnant Women Group (PWG) formed in each ward of the VDC (this group had formed before

the federal structure) in active participation of FCHVs and Health Facilitators. Monthly meeting

conducted by Health Facilitators in presence of FCHV and discuss on Promoting birth

preparedness,complication readiness, awareness raising, Birth Preparedness Package (Jeevan


Suraksha Flip Chart and Jeevan Suraksha Card), ANC/PNC services (Iron, TT, Albendazole,

etc), self care (food, rest, no smoking and no drinking alcohol, including pregnancy and

postpartum period), essential new born care, identification and prompt care seeking for danger

signs during pregnancy, delivery, postpartum and newborn period. Along with these, they

informed pregnant women group about services and benefit of the government.

In the meeting, phase wise they also informed about immunization, benefits and important of

breastfeeding, balance diet, available foods and nutrition status, available contraceptive methods

and many more. The facilitators and FCHVs also provide awareness to the husband and mother

in-laws. While implementing the program Plan/GERUWA, government, Health facilities,

FCHVs, Community and Family havespecified role and responsibilities. In regular basis the

stakeholders, board members, Plan / GERUWA team did monitoring. Health Officer and

coordinator had frequent visit in the field.

Achievements by activities/indicators

s.n Activities Target

for the

reporting

period

Actual

achievement

during the

reporting

period

Cumulati

ve target

to date

Cumulat

ive

achievem

ent to

date

1 Parents/CareGivers/Gurdains/ECD

Management Committee monthly

meeting in ECD center

297 297 297 297

2 Health, Nutrition and WASH related

day celebration

10 10 10 10

3 5 days ToT on RCES to ECD facilitator 1 1 1 1

4 2 Days Refresher training to ECD

Facilitators (New Location)

1 1 1 1

5 Review meeting of ECD facilitator

(after completion of each module)

1 1 1 1

6 Annual / semi-annual and quarterly

review meeting

1 1 1 1

7 IEC/BCC/Training Material printing

and social and behavior change

communication

1 1 1 1

8 Key Life Events 50 50 50 50

9 Food Demonstration (super flour

Preparation, Posilo Jaulo , Farsiko

kheer etc)

25 25 25 25

10 Healthy Baby Competition 25 25 25 25

11 National/International Day Celebration 4 4 4 4


Success story:

Kusma : A role model ! Banke is bordered on the west by Bardiya district. Rapti zone's Salyan and Dang Deukhuri

Districts border to the north and east. To the south lies Uttar Pradesh, India, a country in Asia; East

of Nepalgunj the international border follows the southern edge of the Dudhwa Range of the Siwaliks.

There are one Sub-metropolitan city, one Municipality and six Rural Municipalities in Banke District.

Majority of population inhabiting in this district are Madheshi, Tharu & Muslims and other are

chhetri, Brahmin, Dalits etc. Most of the people speak Nepali language but mostly Hindi & Awadi is

spoken. Major occupation of the people are labour & most of the people works in bricks factories,

other industrial areas etc.

In between the communities there lies a small village known as Chamar Tole of Janki Rural

Municipality -2 Belbhar which is 9 km far in western direction from Nepalgunj market. And this is

the story of hardworking 25 years old woman Kushma Chamar who belongs to poor and DAG

community. They donot have their own sufficient cropland to grow food, crops and vegetables. Her

Husband is 33 years old and do labor for survival. Her family had 4 members including her Mother-in

law, husband, herself and a girl child. Her mother-in law lives separately from them. Her child is 4

years old named Kabita Chamar.

Plan International Nepal & Implementing partner Geruwa Rural Awareness Association, Bardiya is

implementing Gender Transformative Early Parenting Education project in Banke and Bardiya.

Specifically on Rajapur and Barabardiya of Bardiya & Janki & Baijnath of Banke. As a part of

program after running 32 sessions of PE sessions, Kushma chamar had attended all the sessions

actively. Firstly she secretly used to join the classes but after influencing from the subject matter of

Responsive care and early stimulation of child, discussed with her husband about the sessions. After

discussion, her husband allows her to attend the sessions despite the household chores.

12 5 days ToT on RCES to ECD facilitator

(New location)

1 1 1 1

13 2 days Refresher training to ECD

facilitator (old location)

3 3 3 3

14 Review meeting of ECD facilitator

(after completion of each module)

1 1 1 1

15 Support for review meeting, campaign,

and workshop at local, District,

Provincial and Central Level.

2 2 2 2

16 Child play corner and Play material in

health facility and ECD center.

1 1 1 1

17 Technical support to institutionalize of

PWG approach in MNCH services

6 6 6 6

18 Orientation on RCES to health

workers/MNCH workers/FCHVs.

1 1 1 1

19 Orientation on ECD /RCES at local

level.

4 4 4 4

https://en.wikipedia.org/wiki/Bardiya_district

https://en.wikipedia.org/wiki/Rapti_zone

https://en.wikipedia.org/wiki/Salyan_District_(Nepal)




https://en.wikipedia.org/wiki/Uttar_Pradesh

https://en.wikipedia.org/wiki/India

https://en.wikipedia.org/wiki/Dudhwa_Range


During implementation of GTEP project, she was selected as active mother and participated in 3

days Kitchen gardening training. Not only participated but also share the knowledge among the

colleagues in the community & had established a concept of kitchen gardening approach by lending

the field of nearby Guthi along with the continues use of bio-pesticide. Firstly they used to buy the

vegetable from market but not they don’t. But nowadays she sell vegetables to the other people in

the community also.

Also by learning from the PE sessions she had tried to implement the habits i.e. playing materials at

home for child, giving nutritional food to the child, sending a child to nearby ECED center neat and

tidy with homemade food, discussion about child caring with her husband, keeping house and

surrounding clean etc. She had been awarded with the gift of Model mother among her group also.

She is very happy and satisfied that she is able to gain some knowledge regarding child caring,

health and nutrition etc. She is thankful towards Geruwa and Plan for providing such opportunity.

She can be taken as the one of the model mother and inspiration among some of the few mothers in

Banke and Bardiya.

“I am very much thankful to Plan and Geruwa for every support and providing opportunity

for me. Firstly we have to buy vegetables but now I am selling vegetables to the community

people, which is helping me to earn some money & helps in saving also” Kushma Chamar,

Janki RM-2 , Belbhar, Banke



Baby competition at Rajapur-6, Jhapti Bardiya KLE at Pasupatinagar Bariya District

KLE at Badalpur Rajapur Municipality Bardiya District

Contributors: Yadu K.C., Keshav...

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