Documentos de Académico
Documentos de Profesional
Documentos de Cultura
Community-Based Monitoring to
Improve Maternal Health in Odisha
no. 3 | march, 2015
245
237 234
250 230
212
200
142 139
150
100 86 82
79 75 57
59 56 58
49 47
50
0
2011-12 2012-13 2011-12 2012-13 2011-12 2012-13
Martha Digal is one such actor; she has been the ASHA of
Rajika Khol village (Kandhamal district) for the last eight Martha. Thirtyfour year old Martha was married when she
years. Martha has been working closely with CYSD, since was 15 and has three children. She became an ASHA after
2012, on reviving the GKS, increasing the footfall on Mamta her third child was born.
Diwas and holding trainings to promote institutional
The Oxfam project has shown two changes one, more
delivery and proper nutrition to improve maternal and child
women are opting for institutional deliveries and second,
health in the village. Since 2012, her village has reported
the demand for contraceptives has increased. The films
100 per cent institutional delivery and no cases of infant
have ensured that issues like family planning, sterilisation,
mortality, maternal mortality or malnourishment. In 2014,
birth spacing and use of contraception like condoms and
she was awarded the best ASHA (at the district level). She
copper T are discussed in the open.
played herself in two films one was a film on institutional
delivery (Shabash Amit Well Done Amit) and the other on Earlier, Mamta Diwas was taken for granted. Due to the
antenatal care (Tini Parjaya Three Chapters). films and regular intervention by CYSD, pregnant women
have now started going for regular checks and they are
I had never acted before but I was encouraged by my
aware that they have to be checked for blood pressure,
family. Its a matter of pride that people are motivated and
weight and haemoglobin. Apart from film screenings, the
the ANM and doctors are watching these films. Personally, if
messages also spread through word of mouth, reaching
these kinds of films were shown earlier, I would have taken
out to many indirectly. The films are in demand even in
precaution and not gotten pregnant a third time, smiled
villages not covered by Oxfam.
With awareness more women now attend Mamta Diwas or the Village Health and Nutrition Day
3
Films
Shabash Amit - Institutional delivery
Mamta- Nutrition
Tini Parjaya - Antenatal Care
Jagan Gaatha - Contraception
Duiti Prashna - Nutrition
AV shows
Institutional Delivery, Nutrition during pregnancy and
Family Planning
Outreach
In Kandhamal and Sundargarh, since August, the film
screenings in 69 villages have directly reached out to
over 2500 adults and nearly 1400 adolescents
and to nearly 2100 (adults and adolescents) indirectly.
Though films talk about both male and female contraception, playing my part. If there are more films on other issues, it
there is a greater demand for female contraception. Male will not just be interesting but easier to understand.
sterilisation is almost nil at the moment9, it is a matter of
concern that the films lack clarity on this topic. The films Notes
should show how vasectomy is done. They should also talk 1 http://www.censusindia.gov.in/vital_statistics/mmr_
about the difference and the impact of male and female bulletin_2011-13.pdf ; these are the latest figures, the
sterilisation on the health of men and women respectively. earlier figure was at 178
This will help promote vasectomy, said Mamta. 2 https://www.gov.uk/government/uploads/system/
There is a demand for regular screening of films. The uploads/attachment_data/file/207456/GPAF-Gender-
screenings are restricted due to frequent power cuts Guidelines-
or inaccessibility one film screening that Oxfam was 3 http://www.thehindu.com/news/national/rajan-
present for was interrupted due to power failure. Due to panel-ranks-odisha-most-backward-state/
lack of connectivity, no screening had taken place in one article5170719.ece
of the villages. We will have to find a way to either take 4 NFHS- III
the film there or bring them to a screening, said Rout. A 5 NFHS- III
schedule for screening needs to be drawn in a manner that 6 http://www.cysd.org
men do not miss out on the screenings; they are usually out 7 National Rural Health Mission was merged with the
during the day working. National Urban Health Mission in 2014 to form the
Though meetings and trainings ensure interaction and National Health Mission
hands-on advice, audiovisual media like films make a 8 http://nrhm.gov.in/communitisation/village-health-
deeper and long lasting impact. The fact that actors are sanitation-nutrition-committee.html
from within the community is a huge motivation to watch 9 http://orissa.gov.in/e-magazine/orissareview/2012/
these films and emulate as role models. And, as Mamta sep/engpdf/51-60.pdf; According to the AHS, 30.1
puts it, I knew a few things about maternal health in the per cent women and only 0.3 per cent men underwent
past but learnt much more while reading the scripts and sterilisation.
Oxfam India, 4th and 5th Floor, Shriram Bharatiya Kala Kendra,
1, Copernicus Marg, New Delhi 110001
Tel: +91 (0) 11 4653 8000 www.oxfamindia.org
Oxfam India is a member of a global confederation of 17 Oxfams and is registered as a company
under section 25 of4the Indian Company Law.