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ANNUAL PROJECT REPORT Development Cooperation Location of the project: ANNUAL PROJECT REPORT 5 (rural) municipalities in Salyan, Development Cooperation 5 (rural) municipalities in Kailali, 5 (rural) municipalities in Bardiya 4 (rural) municipalities in Banke 5 (rural) municipalities in Rasuwa 8 (rural) municipalities Gorkha Reporting year: 2018 Name of the project: School Mental Health Programme (SMHP) Short description of the project current situation1: This was the first year of the fifth phase (2018 to 2021) program, which was implemented in 32 (rural) municipalities of 6 project districts listed above. This project has covered 70 schools and 22 health facilities (including 11 health facilities of Banke and Bardiya district). This program was implemented based on the Memorandum of Understanding (MoU) signed with Centre for Education and Human Resource Development (Immediate Department of Education) at central level and in approval of the concerned (rural) municipalities. SMHP is financially supported by the Felm, Finland. This project was implemented to bring the impact in quality learning of the school going children and adolescents through the promotion of psychosocial well-being. This project was designed following the research-based approach and baseline research study was conducted in the beginning of this phase. The major variants of baseline study were the drop-out rate, school attendance rate, learning achievement rate and psychosocial wellbeing of the school going children. After the intervention during this year, the school attendance rate is increased by 6% (baseline 67%) and learning achievement is increased by 15% (baseline 51%). Findings of baseline study showed 17.2% emotional and behavioural problems (EBP) in school going children and adolescents. The changes in EBP and psychosocial well-being because of program intervention will be assessed at the end of academic year (i.e. May 2019) during midline study. 140 focal teachers (one male and one female teacher from each school) from 70 schools received 3 modules training in school counselling. Twenty-eight schools (40% schools) managed a separate student counselling room. 499 students received individual counselling services by trained teachers in this reporting period. Among them 45% students have shown better progress in emotional and behavioural problems (EBPs according to the measurement of the progress matrix and teacher rating form used in each sessions of school counselling. Nine percentage of children with the EBPs were referred for further support to the health facilities for mental health service and 46% students are still in follow-up with psychosocial focal teachers at schools for counselling services. 1095 teachers received basic orientation on psychosocial promotional activities. Promotional boards and positive disciplinary tools are practiced in 258 classrooms of 70 schools by 258 teachers. 4702 school children benefited from classroom based promotional activities. 40% school developed child protection policy (baseline-nil). 6887 adolescents’ students attended adolescent health awareness interaction sessions as a result child marriage is reduced in a range of 64 to 91% in each project schools2. 6823 parents involved in parenting education sessions as a result 27% showed supportive behaviour to their children. Parents participation in attending parenting sessions at schools is increased by 53%. Forty-one health workers including 8 medical officers received the mental health training and the performance of health workers, including trained is improved by 80% as per the assessment from psychiatrist during mental health clinical supervision. Seven staff nurses received short term psychosocial counselling training and the performance of trained staff nurse, including newly trained is improved by 50% as evidenced by the report of psychosocial supervision. Six staff nurse/social worker received one module of six months psychosocial counselling training. Five self-help group (SHG) formed in this reporting period and 72 SHG members attended training on rights based mental health approach. In this year 1397 (1064 adult and 333 children) received mental health service from trained health worker. Two hundred fifty people having psychosocial problems received psychosocial 1Briefly describe (max 700 characters) 1) the main results achieved during the reporting year 2) any other significant events or processes which took place 3) numbers of rights-holders and duty-bearers / beneficiaries. 2Compared with baseline information and calculated the school-wise percentage of the trend of reduced child marriage 1 counselling service by trained health workers. Four health institutions developed as a referral centre for mental health and psychosocial service for the school children, teachers, parents and other community people. Similarly, 43% schools received financial support from (rural) municipalities for the promotion of child friendly school environment, which is equivalent to 20% of total cost of promotional materials. CMC- Nepal involved the (rural) municipalities elected representatives and government officials in the project inception meeting, project monitoring, review meeting and MPAC meeting which contributed to understand the importance of the project i.e psychosocial wellbeing of the children by the (rural) municipalities. The regular interaction and lobbying helped to motivate local level to provide financial support for classroom based psychosocial promotional activities. Two health worker/social workers received first module of 6-months psychosocial counselling training and 8 health worker received mental health training through the support of program implementing (rural) municipalities. The third module of school counselling (career counselling) developed and tested in the 20 schools of Gorkha and Rasuwa. Twenty-seven resource persons received training and developed as a local level trainer. They replicated psychosocial promotional activities in 12 non-project schools. CMC-Nepal organized coordination meeting in two provinces (Sudhur Pachhim and Karnali) and involved them in project monitoring, together with the representatives of local level. Two social audits and eight MPAC meetings were organized in this reporting year. The coordination meeting with the elected representatives of all (rural) municipalities of Salyan, Kailali and Rasuwa was also organised, which brought visible impact in replication in Salyan district. Reporting organisation: Centre Telephone & Fax: Web: www. cmcnepal. org.np for Mental Health and 977-1-4102037 Counselling-Nepal (CMC-Nepal) 977-1-4102038 Address: Thapathali, Kathmandu E-mail: Contact person: Post Box No: 5295 [email protected] Ram Lal Shrestha Executive Director Budget for the reporting period Amount spent during the Expenditure %: 97 (NPR): reporting period (NPR): 25,700,697.00 24,977,044.49 2 Section A. Context 1. Project Organisation(s)3 1.1 Briefly describe significant changes which have taken place – if any - within the project organisation(s)/church during the reporting period (e.g. revision of strategies, any organisational development processes, change of key staff etc.). There is no as such changes in the programme strategy and its key activities during this reporting year. However, there was change is sub-activity of Activity 3.1.2 Review Meeting with Head Teachers and Other stakeholders. 4 head-teachers were included in the head-teacher review meeting in Gorkha with the aim of cross learning and exposure. Likewise, the coordination meeting with all the (rural) municipalities elected representatives were also organised in Rasuwa, Salyan and Kailali under the same activity head (Activity 3.1.2). Activity and budget revision was proposed to Felm, with including these additional sub-activities and approval was obtained. There were discussions at organisation level of CMC-Nepal about to sensitize to the elected representatives and government officials of the local level in mental health and psychosocial issues and sell the CMC-Nepal’s expertise to them in order to extend mental health and psychosocial service at community level. Even in the project (rural) municipalities, partnership modality was discussed in order to make responsible to the local level in implementation of the project activities, with sharing of the cost in the project. The partnership agreement will be done with the project (rural) municipalities effective from the next year. There was no change of key staff as well as field staff in this reporting period, who was responsible for this project. However, there was structural changes in government education system which impacted in organizing national level workshop and regular advocacy and lobbying for mainstreaming teachers’ trainings in school education system. The plan of developing master trainer at central level and joint monitoring visit from the central level did not complete due to the 1.2 What effects did these changes have on project implementation? The head-teachers review meeting brought change on effective implementation of psychosocial promotional activities and school counselling. In 40% schools, school administration reduced the teaching hours of the psychosocial focal teachers and increased their time for student counselling. This was the visible change after the review meeting with the head-teachers that they felt the importance of student counselling and agreed to increase the time of the psychosocial focal teachers for the students counselling. The coordination meeting among the (rural) municipality contributed
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