REPORT for SECL for the MONTH of MARCH, 2019 Title Of

REPORT FOR SECL FOR THE MONTH OF MARCH, 2019

Title of the Project: Engaging with and using media as a tool for advocacy and demand generation of health seeking behaviour.

Project Goal: Enable an increase in the public and policy engagement with RMNCHA+N program by using media advocacy.

It is being implemented by New Delhi-based Centre for Advocacy and Research (CFAR) and funded by the South Eastern Coalfields Limited (SECL) under its Social Corporate Responsibility (CSR) activities.

Scope : The National Health Mission and National Nutrition Mission has brought focus, resources and technical strategies for improving RMNCHA+N in Chhattisgarh, as it has elsewhere in India. With the launch of Ayushman Bharat, there are enough opportunities to engage with media.

Pilot: The project got a formal approval from the CSR Committee on September 24, 2018 on a reference from the Health Department of the State Government for implementing a pilot in two districts—Bilaspur where SECL has its operations and Korba, which is in the list of inspirational districts of NITI Aayog.

Progress: The month began with a workshop for ``Health Communication and Media Advocacy’’ for IEC/BCC Nodal Officers of Korba and Bilaspur districts that was held at Hotel Vinayak Palace, Bilaspur on March 1. The workshop was part of deliverables under the pilot project.

The aim of the workshop was to trainthe IEC/BCC nodal officers on health communication and media advocacy. There were 22 participants from the two districts and Dr B.R. Nanda, Superintendent of the State Mental Health Hospital at Sendri inaugurated the workshop. Dr Madhulika Singh Thakur, Joint Director and CMHO (Bilaspur) also attended the workshop for a little while. Also present were Mr Chander Kumar Pathak, Senior Manager, and Mr Piyush Mishra, Assistant Manager, SECL.

The participants learnt the art of messaging, drafting press releases, making video films on mobile phones and were skilled for holding interviews and press conferences.

(A detailed report has already been sent)

We continued with our work on sharing content on health with media, and also covered some events on the request of the National Health Mission. The highlight this month was also the International Women’s Day. To mark the day, we profiled four frontline health workers and a TB champion. Four newspapers in Bilaspur, Korba and Raipur carried four profiles. One online portal also carried one profile. Profiling of health workers is also part of our pilot project. Our focus this month was on Family Planning which was a missing theme in our coverage. We shared 3 stories on family planning and got coverage in 6 newspapers with excellent display.

This month we issued 33 stories/press releases and got 63 clips and as many as 17 web portals carried these items, particularly in Bilaspur and Korba. One story on family planning was picked up in Jashpur edition of Haribhoomi also.

The issues taken up this month were: maternal health, child health, immunisation, profiles of frontline health workers, nutrition, family planning, TB, system strengthening, adolescent health, mental health, Glaucoma (national programme), tobacco control, and skin diseases (leprosy detection) which are also national programmes.

These were covered in The Hitavada, Haribhoomi, Patrika, Deshbandhu, Dainik Bhaskar, Dainik Patrika, Highway Channel, Dainik Chhattisgarh, Navbharat, Nai Dunia and Hindi Pioneer. The news portals that picked up our stories were: www.realtime.in , www.bilaspurlive.com , www.thefourthmirror.com , www.glibs.in and www.thefourthnews.com

We had planned two media sensitisation workshops – one each at Bilaspur and Korba – as part of the pilot project. However, this had to be postponed due to announcement of Lok Sabha elections and the subsequent imposition of the Model Code of Conduct. This had to be postponed to after the Model Code of Conduct is lifted after May 23, 2019.

MEDIA TRACKING AND MONITORING:

Monitoring Findings of March 2019:

Quantitative Analysis:

Total number of clips on RMNCHA+N and National Disease Control Programme-877

District wise reports 354

354 169

Korba Bilaspur Raipur

Maximum reports emerged in State (Raipur) and Bilaspur followed by Korba

Publication wise coverage: All health reports in E- newspapers

Publication wise coverage

193 147

91 98 99 71 54 60 64

Maximum coverage find in Naidunia, followed by Patrika, Hindi daily.

Thematic coverage –

Thematic distribution of reports 333

225 177

71 47 7 17

Maximum reports were on training, monitoring and system related services followed by national programmes and child health. There were 333 reports on system strengthening, 225on national programmes and 177 reports were on RMNCHA+N

Qualitative coverage:

Tenor or reports

Tenor of Reports 615

229

Crisis Critical Informative

Of the 877 reports, 615or 70 % were informative and 229 reports or 26% were of crises related to supplies and human resource management and 33 reports or 4% were critical related to deaths and negligence.

Placement of reports –

Placement of reports 700 635 600 500 400

300 216 200 100 26 0 Excellent Good Moderate

Of the 877 reports, 26 or 3% reports got excellent space, 635 or 72% were well placed , and 216 or 25% got moderate space of 1 column or 10 lines

Evidence and voices of the 877 reports, 59 reports were quality reports

59 were supported by evidence including data, and 110 reports were supported by voices.

From informative reports 63 (10%) reports were supported by CFAR

CFAR supported coverage-

As many as 80 reports were facilitated by CFAR in which 17 in web portals and 63 in print media. It is important to mention that this month CFAR supported coverage is more than double of last the month’s coverage of 30 reports. This amounts to an average of 2 clips every day. The details are as follows -

CFAR Supported reports 27

14 15 9 6 7 1 1

Way Forward: As is evident, we have tried to cover the entire spectrum of health issues this month, with focus on family planning which was the missing theme last month. In the coming weeks, we will, once, again, focus on maternal and adolescent health which have received less attention in March.

A comprehensive report on the activities and achievements during the pilot project will be sent shortly. रपोट - वाय सचं ार सु णीकरण हते ु आईईसी , बीसीसी नोडल अिधकारीय क एक दवसीय कायश ाला

िजला - िबलासपरु , 1 माच 2019

थान - होटल िवनायक पलै से , िबलासपरु

आयोजक – सट र फॉर एडवोकेसी एडं रसच (CFAR)

ायोजक – साऊथ इटन कोलफडस िलिमटेड (SECL)

उेय - आईईसी , बीसीसी नोडल अिधकारीय का वाय वाय मु पर संचार को सुण करने और मीिडया म इन मु क पैरवी करने का अिभमुिखकरण करना व िविभ मीिडया मायमो के उपयोग सबधी कौशल का िनमाण करना I नोडल अिधकारय क मता को मजबूत करने के िलए और मीिडया का उपयोग कैसे कर, मीिडया एवं अय क अिधक समझ लाने के िलए उह सम करना तथा लेखन के िलए एक साझा दृिकोण का िनमाण करना I

तािवत काय णाली - कायशाला सहभागी िकोण पर आधारत थी I ितभािगय के सहभाग के साथ सभी स पुरे कये गए I

उाटन - राय मानिसक िचकसालय सदरी के अधीक डॉ . बी .आर . नंदा ने कहा क वहार परवतन समझाने के िलए यह बत ही उपयोगी कायशाला है। कायशाला से ितभािगय को मीिडया क भूिमका , उपयोिगता और महव को समझने म मदद करेगी और मीिडया के साथ बेहतर तरीके से काम करने म मदद करेगी। हम मीिडया को सही समाचार देना चािहए। हम यद उह िवभागीय सकारामक काय-कलाप से अवगत नह कराएंगे यािन उनम वाय मु पर संचार नह करगे तो ामक समाचार ही समाचार प म कािशत हगे। कायशाला वाय के वहार को बेहतर बनाने और वाय परणाम को सकारामक प से भािवत करने के िलए मीिडया के साथ िमलकर वाय जानकारी दान करने म अपने कौशल को मजबूत करने के िलए ितभािगय को ेरत करेगी। डॉ . मधुिलका संह संयु संचालक और मुय िचकसा अिधकारी िबलासपुर ने भी कुछ देर कायशाला म कुछ समय दया। उाटन स -

सीएफएआर से सुी रंजना दवेदी ने स क शुआत करते ए सीएफएआर के काय क जानकारी देते ए कहा क संचारक के प म हमारा काम समुदाय , सहकमय और कभी -कभी अय सरकार के साथ बातचीत और चचा करना है। ितभािगय के औपचारक परचय के बाद उहने कायशाला का उेय समझाया। चचा को आगे बढ़ाते ए उहने कायशाला के एजडे क संि जानकारी दी I

स -1- वाय योजना क सूचना और उसक संपूण जानकारी का संचार कस तरह से लोग को उपलध कराया जाए इसे सीएफएआर से ी नदीम अहमद ने िवशेष तरीके से बताया। समूह चचा के मायम से उहने बताया क हमारा नजरया ऐेसा होना चािहए िजससे क टागट ुप हम पर यान दे। हमारा सकारामक पहलू या हो , मी़िडया के जरए वाय सेवा के सकारामक संदेश कैसे सामने लाए जाएं इस पर िवतार से बताया। इनक तमाम बारीकयां ितभािगय को पावर वाइंट ेजटेशन एवं लघु फम के मायम से बताई गई। बीसीसी (िबहेिवयर चज कयूिनकेशन ), एसबीसीसी (सोशल िबहेिवयर चज कयूिनकेशन ) के या मायने ह, िवतार से बताया। सीएफएआर के नदीम अहमद ने िबहेिवयर चज योरी उदाहरण देकर बताया।

स -2- एनएचएम के डॉ . अण दुबे ने एनएचएम के वृहद उेय को ितभािगय के सम रखा। उहने बताया क हम अपने ान म िनरंतर वृि करनी है और समय क मांग को देखते ए खुद को अपडेट भी रखना है। वहार के बदलाव के िलए तीन चीज मुय प से जरी ह। िजसपर यान देना होता है। वह है जानना , मानना और अपनाना। अपने अंदर क दता को िनखार और अपने काय के मायम से लोग को बताएं। सामािजक बदलाव तभी आएगा जब वहार वय होगा। चुनौितय के बावजूद संभावनाएं भी मौजूद ह । हम उसे पहचानना होगा और समुदाय के बीच सही तरीके से रखना होगा। कायशाला म उपिथत एसईसीएल के सीिनयर मैनेजर ी चं कुमार पाठक ने बताया क वह सीएफएआर से िमलकर वाय सेवा क जानकारी लोग तक पंचाने का काय करते ह। ताक वाय के ित अिधक से अिधक लोग जागक ह। उहने बताया क एसईसीएल एनएचएम के साथ िमलकर “एसईसीएल फॉर हेथ ” के सपने को कस तरह छीसगढ़ म साकार कर रहा है, इस पर भी काश डाला। उहने कायशाला के मायम से अपने बेहतर काय को मीिडया से साझा करने क नोडल अिधकारय से अपील क।

स -3- तीसरा स वाय संचार और मीिडया एडवोकेसी पर कत रहा। मीिडया के परेय पर कत स म मीिडया म िनगेटव रपोटग और उसके दुपरणाम के बारे म सीएफएआर से सुी आरती धर ने बताया। रपोट राइटंग कैसी हो , वाय संचार क सकारामक पहलु क तुितकरण िजससे क ामक और नकारामक समाचार का संचार न हो ितभािगय को उनके काम क कृित के बारे म जानकारी देते ए उहने इस बात पर जोर दया क वाय देखभाल दाता के प म हमेशा जोिखम म रहगे यक उनका काम सीधे तौर पर कसी ि के जीवन से जुड़ा होता है। जो मीिडयाकमय क रपोटग या को भािवत करते ह। यद कसी करण के पीछे तकसंगत पीकरण है तो हम िववरण साझा करने क भी आवयकता है। तभी गलतफहमी से बचने और एक पीय कहानी से बचने से हम कुछ हद तक नुकसान को िनयंित करने म सम हगे। उहने रपोटर और संपादक से संवाद करने, एक रीवाइंडर िलखने और कायशाला का आयोजन करके मीिडया को जवाब देने के तरीक को भी साझा कया , िजससे हम िशित हो सक और उह संवेदनशील बना सक।

अगर नकारामक समाचार मीिडया के जरए सारत हो रहे ह तो उस पर कैसे िनयंण कर इसे भी उहने सिवतार बताया। उहने साझा कया क मीिडया को समुदाय और कायम के बीच एक मायम और लंक के प म माना जा सकता है। मीिडया के साथ लंक थािपत करने के िलए हम मीिडया के दृिकोण और वृि को समझने क आवयकता है। उहने मीिडया के साथ संचार के महव को साझा कया , उहने जोर दया वाय िवभाग को मीिडया के साथ िनयिमत संचार थािपत करने क आवयकता है I ितभािगय के कई समूह बनाकर िनगेटव रपोटग कम करने के तरीके सुाए। नाकारामक टोरी को साकारामक प कैसे दया जा सकता है इसे भी बताया। स -4- चौथे स म ितभािगय को सही समय पर उपलध संसाधन म ही कैसे सामािजक चेतना जागृत क जा सकती है, कैपेन कैसे भावी होते ह। इसे लघु फम के जरए CFAR क रंजना िवेदी ने बताया। ितभागी अपने काय को बेहतर तरीके से कर इसके गुर भी सीखाए। चौथे स म वाय परेखा और काय योजना के िवकास म योगदान देने समूह काय कये I कायशाला म ितभािगय को समूह म बांटकर उह मी़िडया से पकार से वहार करने क जानकारी दी गई और लघु फम का िनमाण कर िवभागीय काय को मीिडया से कैसे शेयर कर इसे भी बताया ।

समूह काय – ितभािगय को तीन समूह म बांटा गया। िजसम एक समूह को डॉयूमस जैसे क ेस रलीज िलखने के बारे म िसखाया गया। िजसम उनक मदद सीएफएआर के ी अनीस उर रहमान ने क। दूसरे समूह को मॉक ेस कॉस और समाचार के बारे म बताया गया। तीसरे समूह को

मोबाइल फोन से लघु फम बनाना िसखाया गया। इस दौरान कोरबा और िबलासपुर के ितभािगय ने अपने-अपने कायथल के अनुभव को साझा कया।

कायश ाला के परणाम - आईईसी , बीसीसी नोडल अिधकारीय ने मीिडया से जानकारी साझा करने के कौशल सीखे, ेस रीलीज कैसे बनाया जाता है और मोबाइल फोन से वी़िडयो फम कैसे बनाई जाती है ये भी सीखा। व एक लघु नाटका , एक वी़िडयो फम , ट मीिडया हेतु ेस रलीज आद तैयार क।

ितभािगय क ितया - कायशाला क शुआत म ितभािगय ने बताया क उह आईईसी क कसी भी तरह क जानकारी नह िमली है। ना ही वाय संचार , वहार िवकास आद िवषय पर जानने कोई िशण ही िमला है। ितभागी नोडल अिधकारय का कहना था क वे काय तो करते ह पर उसका संचार कैसे कया जाए यह नह मालूम था । परंतु अब कायशाला के मायम से उहने जो सीखा है उसका इतेमाल करके वे अपने काय क जानकारी बखूबी आगे साझा कर सकते ह।

REPORT FOR SECL FOR THE MONTH OF FEBRUARY, 2019

Title of the Project: Engaging with and using media as a tool for advocacy and demand generation of health seeking behaviour.

Project Goal: Enable an increase in the public and policy engagement with RMNCHA+N program by using media advocacy.

Progress: This month we continued with sharing content on health. On the request of the Department of Health and Family Welfare (State Mental Health Programme), five members of our team attended a Training of Trainers workshop on media and suicide prevention at Raipur on February 28. We will further sensitive media across Chhattisgarh and improve their skills on suicide reporting. This is to prevent a chain reaction following a suicide. These media sensitisation workshops would be held at the divisional level in all five divisions.

In February, we filed 15 stories on different issues and we got 30 published news clips of the stories we shared.

Our first story of the month was on how mitanins encourage pregnant women to go for normal delivery. It was carried by: Daily Chhattisgarh (all editions), Hindi Pioneer (Raipur/Bilaspur), Dainik Patrika, Hitavada (all editions), Haribhoomi (all editions).

The second story was on District Administration taking measures to deal with under-nutrition that was carried in (Deshbandhu), Korba. A story on training of trainers on identification of mental health disorders was carried by Central Chronicle and The Hitavada (all editions). Leprosy campaign story was published in (Hariboomi), Bilaspur.

Content on National De-Worming Day and Filaria Elimination Campaign shared by us was published in Highway Channel, and Navbharat (Bilaspur). Story on high risk pregnancies was published in Dainik Chhattisgarh (all editions) and The Hitavada. Launching of Tetanus Diphtheria vaccine was published in Dainik Chhattisgarh, Central Chronicle, The Hitavada (all editions), and Hindi Pioneer.

Women in Nawagarh are now aware of their health was carried in Dainik Chhattisgarh, and Hindi Pioneer. We covered a workshop on tobacco control at Bilaspur that was published in Hari Bhoomi and Highway Channel. A story on Suposhan Chaupal held in Bilaspur was carried by Dainik Chhattisgarh and Hindi Pioneer whereas a story on Nutritional Rehabilitation Centre at Korba was carried by Dainik Chhattisgarh and Hindi Pioneer and www.hindustansavera.com . Adolescent Friendly Health Clinics under the Rashtriya Kishore Swaasth Karyakram was carried in Highway Channel. Hindi Pioneer also carried a story on campaign against drinking by school girls in Bemetara was carried well in Hindi Pioneer. A story on mitanin training in Bilha was carried by Haribhoomin (Bilaspur edition) and a red card scheme for women in Bilha was published in Hindi Pioneer, Dainik Chhatttisgarh and www.bilaspurlive.com web portal.

MEDIA TRACKING AND MONITORING:

Monitoring Findings of February 2019:

Quantitative Analysis:

Total number of clips on RMNCHA+N and National Disease Control Programme-1145

District wise reports 522 467

156

Korba Bilaspur Raipur

Maximum reports emerged in State (Raipur) editions followed by Bilaspur

Publication wise coverage: All health reports in E- newspapers

Total no. of reports 323

257

163 133 111 76 50 28 2 3

Maximum coverage find in Dainik Patrika followed by Daily Chhattisgarh.

Thematic coverage:

Number of reports

492

331

146

66 80 9 21

Reproductive Newborn Maternal Adolescent Child Health National System Health Health Health Health Programmes Strengthening Services

Maximum reports were on training, monitoring and system related services followed by national programmes and child health. There were 492 reports on system strengthening, 331 on national programmes and 322 reports were on RMNCHA+N

Qualitative coverage:

Tenor or reports

Tenor of Reports

775

289

Crisis Critical Informative

Out of 1145 reports 775 or 68 % were informative and 289 reports or 25 % reports were of crises related to supplies and human resource management and 81 reports or 7% were critical related to deaths and negligence.

Placement of reports:

Space 25

349 Excellent Good

771 Moderate

Of the 1145 reports, 25 or 2% reports got excellent space 349 or 67% were well placed 771 or 30% got moderate space of 1 column or 10 lines

Evidence and voices of the 1145 reports, 42 reports were quality reports in which 30 (72%) were CFAR supported.

42 were supported by evidence including data, and 113 reports were supported by voices.

CFAR supported coverage

Issues 5

2 2 2 2 2 2 2 2 2

1 1 1 1

Way Forward: Family Planning continues to be a missing theme, and our effort would be to cover it in March. REPORT FOR SECL FOR THE MONTH OF JANUARY, 2019

Title of the Project: Engaging with and using media as a tool for advocacy and demand generation of health seeking behaviour.

Project Goal: Enable an increase in the public and policy engagement with RMNCHA+N program by using media advocacy.

Progress: This month we continued with sharing content on health. On the request of the Department of Health and Family Welfare (State Mental Health Programme), we covered a two-day workshop on ``Suicide Gatekeepers’’ on January 16 and 17 at Hotel Solitaire, Jai Stambh Chowk, Raipur. We issued a press release in Hindi as well as English on the first day which was extensive covered in both languages. The English newspapers which carried it in all Chhattisgarh editions were The Hitavada and The Central Chronicle. Among the Hindi newspapers which carried the story included Dainik Chhattisgarh (all editions), Hindi Pioneer, Navbharat, and Nai Dunia.

Our content on MoU between Chhattisgarh and NIMHANS on specialised unit for stress management for paramilitary forces in Bastar was carried nationally in The New Indian Express.

On the request of the Department of Health and Family Welfare (Adolescent Health), we covered a National Regional Review meeting of Rashtriya Kishore Swasth Karyakram (RKSK) programme at Hotel Babylon Inn on January 17. We issued English press release on the meeting which was carried very well in The Hitavada and The Central Chronicle.

Adolescent health also happened to be one of our focus areas which was identified as missing theme in last month’s media tracking.

We also shared content on breastfeeding which was carried by Hindi Pioneer very well and The Hitavada. Dainik Chhattisgarh carried it in its online edition.

Another story we shared was on how a mitanin is planning to write to the Chief Minister’s Office for ensuring free and uninterrupted supply of medicines to patients in public health facilities and a check on domestic violence. This was carried in Dainik Chhattisgarh with a picture.

We shared content on the importance of `annaprashan’ and `godbharai’ ceremonies now adopted by the government in its nutrition programme. It was carried by Hindi Pioneer.

We shared a story on initiatives to be taken by Bilaspur administration to prevent malnutrition among the children in the district. However, it was not taken by any newspaper.

A story on model Health and Wellness Centre at Delwadih in Korba was shared with media in Korba and Bilaspur. However, it was carried only by The Hitavada in its Korba/Bilaspur edition.

The next story we shared on January 29 was about training of mitanins on geriatric health care information to senior citizens. It was carried in Times of India, The Hitavada, Central Chronicle, Nai Dunia and Dainik Chhattisgarh.

Another story on Korba administration’s initiative to check undernutrition was carried by Deshbandhu and Haribhoomi newspapers in Korba edition.

(SAMPLES OF COVERAGE ATTACHED WITH THE MAIL)

Official Meetings : During our visit to Bilaspur on January 25, 2019, we visited and documented urban and rural Health and Wellness Centres running in Chakarbhata Primary Health Centre.

We also collected information from officers of HIV and TB programme. Under TB programme, State NHM is providing a basket of food and cash incentive to all registered TB patients who are under treatment.

We met Ms Fariha, CEO, Zila Parishad and she assured support on positive stories of elected representatives. She asked the Nodal Officer Ms Poonam to coordinate with us.

During our visit to Korba, we visited Tuman primary health centre as recommended by DPM to document a unique initiatice established and run by a doctor couple. We conducted Focus Group Discussions with the frontline workers to get an understanding of health issues, services and role of media they perceive.

Visit to Raipur on January 17-19: We met Dr Abhishek Tripathi, JD, Family Welfare who informed us about how the state government is planning to expand its Fixed Day services in the wake of a huge demand.

This was followed by a meeting with Mr K.R. Sonwani, JD, Vector Borne Disease and Dr Deshpande, State TB Officer and Mr Sharma from WHO.

We interacted with Priyanka Sahu the Area coordinator for Mitanins and Dr Rohit Baghel Consultant Maternal Health.

MEDIA TRACKING AND MONITORING:

Monitoring Findings of January 2019:

Quantitative Analysis:

Total number of clips on RMNCHA+N and National Disease Control Programme-460

366 District wise reports

66 28

Bilaspur Korba Raipur

Maximum reports emerged in State (Raipur) editions followed by Bilaspur

Publication wise coverage: All health reports in E- newspapers

Publicationwise Reports 109 97 91

51 47

Nav Bharat Haribhoomi Patrika Nai Duniya Daily The Hitavada Chhattisgarh

Maximum coverage find in The Hitvada English daily, followed by Daily Chattisgarh, Hindi daily.

Thematic coverage –

Reproductive Health, 5 Newborn Health, 10 Maternal Health, 11 Adolescent Health, 12

Child Health, 55

Thematic reports National Programmes, System Strengthening 91 Services, 276

Maximum reports were on training, monitoring and system related services followed by national programmes and child health. There were 276 reports on system strengthening, 91 on national programmes and 55 on child health.

Qualitative coverage:

Tenor or reports

Tenor of Reports 376

63 21

Critical Crisis Informative

Out of 460 reports 376 or 82 % were informative and 63 reports or 14 % reports were of crises related to supplies and human resource management and 21 reports or 5% were critical related to deaths and negligence.

Placement of reports –

Placement of reports Excellent 12%

Moderate 19% Good 69%

Of the 460 reports, 55 or 12% reports got excellent space 316 or 69% were well placed 89 or 19% got moderate space of 1 column or 10 lines

Evidence and voices of the 460 reports, 72 or 16%were supported by evidence including data, and only 18 reports or 4% were supported by voices.

CFAR supported coverage

Publication wise CFAR facilitated coverage from December 21, 2018 to January 31, 2019:

CFAR supported reports Total reports 31

6 5 5

3 3 2 2 2 1 1 1

Mental health story appeared in national page of all editions of New Indian Express ॰

ISSUE ADDRESSED: CONTENT PREPARED

1) Newborn Care --- (Kangaroo Mother Care)

2) National Programmes--- National Mental Health Programme (2)

3) Child Health --- Cold Diarrhoea, Breastfeeding

4) Adolescent Health—Rashtriya Kishore SwasthKaryakram

5) Maternal Health—Normal Delivery

6) Women’s Health--- Domestic Violence

7) Nutrition—Godbharai/Annaprashan

8) System Strengthening- Model Health and Wellness Centre

Way Forward:

In the coming months our focus will be on family planning which is the missing theme in our tracking. Last month adolescent health was missing but we have started working on it already. REPORT FOR SECL FOR THE MONTH OF DECEMBER, 2018

Title of the Project: Engaging with and using media as a tool for advocacy and demand generation of health seeking behaviour.

Project Goal: Enable an increase in the public and policy engagement with RMNCHA+N program by using media advocacy.

Progress: We started sharing daily alerts with the officers of the Department of Health and Family Welfare. The objective behind sharing daily alerts is to give the officers a sense of the health discourse in media. The alerts are a compilation of the major stories carried by the newspaper on that the day.

We also began sharing stories from December 21 after the model code of conduct ended and the new government was in place. Our first story was on Kangaroo Mother Care (both in English and Hindi) and it was shared with 12 media outlets. The report was carried in 5 newspapers—4 Hindi (Dainik Chhattisgarh, Hindi Pioneer, and Nai Duniya, and Times of India and The Hitavada).

Our second story was on a Memorandum of Understanding between the Chhattisgarh Government and the National Institute of Mental Health and Neuro-Sciences (NIMHANS) in Bengaluru regarding setting up of a mental health unit in Bastar Division for providing emotional support to para-military forces stationed there, and providing technical support to the State Mental Health Programme in the State. This story was carried by 2 media outlets— The Hitavada and Dainik Chhattisgarh.

Official meetings : The third story was on cold diarrhoea which was carried by Dainik Chhattisgarh.

We met with Ms Priyanka Sahu, City Coordinator of Mitanins and Ms Payal Jain for success stories on Medical Call Centre (104).

Hiring: We hired Mr Ateeq Zaidi for Bilaspur. He will be stationed there.

Media Tracking and Monitoring:

Monitoring Findings of December 2018:

Quantitative Analysis:

Total number of clips on RMNCHA+N and National Disease Control Programme-368

District wise reports 250

Bilaspur Korba Raipur

Maximum reports emerged in State (Raipur) editions followed by Bilaspur

Publication wise coverage:

Publicationwise Reports 110 93

35 39 12 14

Daily Patrika Navbharat Haribhoomi Chattisgarh The Naiduniya Chhattisgarh Patrika Hitavada

Maximum coverage find in Nai Duniya, Hindi daily followed by The Hitvada, English daily

Thematic coverage –

Thematic reports AdolescentHealth, 2

Child Health, 51 MaternalHealth, 19

system strenghthning National program , 80 services , 195

NewbornHealth, 14 Reproductive health , 7

Maximum reports were on training, monitoring and system related services followed by National program and Child Health. There were 195 reports on system strengthening, 80 on national programmes and 53 on child health. Opportunities : Nutrition is totally missing from the pages while adolescent health, reproductive health, newborn health and maternal health continue to be least covered, and hence an opportunity to focus on these issues. Media needs to be sensitised on these issues to enhance coverage. It is strange that nutrition is totally missing despite the fact that the focus of the Centre and State is on nutrition following the launch of National Nutrition Mission or Poshan Abhiyan. The State government is also implementing several schemes on improving nutrition among women and children.

These trends were visible last month as well and we are preparing content on uncovered or lesser covered issues.

Qualitative coverage:

Tenor or reports

Tenor of Reports 300 261 250

200

150 97 100

50 10 0 Crisis/Unrest Critical Informative

Out of 368 reports 261 or 71 % were informative and 97 reports or 26 % reports were of crises related to supplies and human resource management and 10 reports or 2% were critical related to deaths and negligence .

Placement of reports –

Placement of reports 350 299 300 250 200 150 100 54 50 15 0 Excellent Good Moderate

Of the 368 reports, 15 or 4% reports got excellent space 299 or 80% were well placed 54 or 15% got moderate space of 1 column or 10 lines

Evidence and voices of the 368 reports, 54 or 15% were supported by evidence including data, and only 22 reports or 6% were supported by voices.

Next month Plan :

Would focus on Bilaspur and Korba

Focus on adolescent health and nutrition stories

KANGAROO MOTHER CARE STORY IN THE TIMES OF INDIA.

HINDI PIONEER

STORY ON PROPOSED COUNSELLING UNIT FOR PARA MILITARY FORCES AT BASTAR CARRIED IN DAINIK CHHATTISGARH

KANGAROO MOTHER CARE STORY IN ALL EDITIONS OF THE HITAVADA:

REPORT FOR THE MONTH OF NOVEMBER, 2018:

Title of the Project: Engaging with and using media as a tool for advocacy and demand generation of health seeking behaviour.

Project Goal: Enable an increase in the public and policy engagement with RMNCHA+N program by using media advocacy.

Pilot: The project got a formal approval from the CSR Committee on September 24, 2018 for implementing a pilot in two districts—Bilaspur where SECL has its operations and Korba, which is in the list of inspirational districts of NITI Aayog.

Progress on hiring: Ms Kanchan Chandravanshi and Ms Angalina Francis have joined Raipur office while Ms Anuradha Pandey also works for Raipur office. One candidate has been shortlisted for Bilaspur office.

Renting of office : We have hired office space at Sriram Colony for Rs 8,000 per month. The formalities are in the final stages and we should be able to shift by December, 2018. The address is: C/O Mr. B.K. Sinha, F-5, Sriram Nagar, Phase-1, Street Number 6, near TV Tower, Raipur –492007.

Meeting with journalists : Met with Mr Joseph John, Raipur Editor of the Times of India and his colleague Rashmi Drolia who covers health. Both of them have extended their support for our project and agreed to use our content since they are short of staff, hence, would appreciate authentic content from us on health. Mr John also agreed to send reporters for media sensitisation as and when it is organised.

This was followed by a meeting with Ejaz Kaiser, Bureau Chief of the New Indian Express in Raipur. He said he would be interested in attending media sensitisation workshop and said there was scope for stories from the ground in the weekend supplement of the New Indian Express. Issue-based stories also were often published in his newspaper.

We met with Mr Peelu Ram Sahu of Dainik Bhaskar who covers health and Mr Tanmay Kumar Agarwal, City Bhaskar head. They showed interest in our endeavour and said they would use our stories in the City page.

Meeting with officers and partners : Met with Unicef head, Mr Sam who extended all possible support for our project and also wanted our help in media tracking for the content they share with media on child rights. He will send a formal mail to us in this regard.

The team met Ms Payal Jain, unit incharge of 104 ambulance service being operated by Piramal Foundation. She has agreed to share success/positive stories from across Chhattisgarh. The team also met Ms Priyanka Sahu, Mitanin City Coordinator who has shared some success stories and these are being documented.

The highlight of the month was our meeting with Dr Sumi Jain, incharge of the State Mental Health Programme who has sought our cooperation in sensitising media on reporting on mental health issues, particularly suicides. The Mental Health Programme team will train us on mental health issues and then we will sensitise media across all 5 divisions of the State. The modalities for this are being worked out.

Visit to Bilaspur : We visited Bilaspur on November 13, 2013 since Bilaspur is one of our pilot blocks and also headquarters of SECL.

The highlight of the day was our trip to Bilaspur and visit to the State Psychiatric Hospital situated at Sendri Block. The Hospital has been operational since 2013.

Here, we with Dr Prashant Pandey who took us on a tour of the Hospital and explained in details the functioning, strengths and challenges being faced by the institution. Dr Prashant, who has been designated as nodal officer, the teams regularly visit schools and colleges for holding counselling sessions and Suicide Watch programs for the students and teachers. We will be attending these sessions and doing stories on these.

The Superintendent, Dr B.R. Nanda, heard us patiently and understood our programme and then assured us all help in documenting stories on mental health Dr Nanda requested CFAR to work towards sensitization of media towards reporting of Suicide cases that usually carry gory details that run the risk of ripple effect and copy cat actions. The Hospital is also working with Mitanins, MOs and ANMs training them to conduct psychiatric evaluation and identify people dealing with psychiatric conditions. .

Following this, we met with Mr Sampath and Director CSR SECL Mr P K Singh, who asked us questions about the project and how exactly we were going to go about our deliverables.

Next we also met with Mr Nitin Sharma Assistant Director Public Relations. He gave a patient hearing to CFAR activities and assured us to provide with the required assistance on developing our story bank in Bilaspur and Korba.

We also met with Mr Vishvesh Thakre, Bureau Chief IBC 24. Mr Thakre stated that CFAR would be doing more good to the media in the State. He assured his co operation in publication of stories.

Documentation : We have started documenting stories and content but have not been able to share it with media due to the model code of conduct being in places and also shortage of space in media and non-availability of journalists due to the ongoing electioneering. The delay in field visits has also been because of non-release of funds from SECL. The first instalment is yet to be released. We have been managing from our own resources for the past two months.

Media Monitoring and Tracking:

Monitoring findings; Chhattisgarh- November 2018

Total Reports on RMNCHA+N and national disease control program- 343

Quantitative findings –

District wise coverage

District wise reports

Bilaspur 31%

Raipur 53% Korba 16%

More than 50 percent reports are from Raipur because all major policy decisions and programs ware launch in Raipur only, followed by Bilaspur 31%.and then Korba16

Publication trend –

Publication trend The Hitavada 16% Chattisg arh Patrika 31% Naidunia 53%

We are tracking three newspapers as fix sample and the trends shows that Nai Duniya carries 53% reports followed by Chhattisgarh Patrika and Hitavada

Thematic coverage -

Themewise reports

180 160 160 140 125 120 100 80 60 38 40 20 6 7 6 1 0

Thematic trends shows maximum reports emerged on National programs and system supporting services like trainings monitoring and workshops and on critical issues only child health got focus and 38 reports published. Maternal, newborn and adolescent health had presence in media while reproductive health had only one report.

Opportunities : The trends suggest that there are opportunities to share content on reproductive health, nutrition, maternal, newborn and adolescent health. Media also needs to be sensitised on these issues. Nutrition is totally missing though the governments at the Centre and State focus on National Nutrition Mission. The State government’s focus is also on reducing anaemia, stunting and wasting and there is a need to highlight these issues. So, in the coming months we seek government’s support in helping us with the initiatives taken on this issue so that these can be shared with media. We will focus on these issues in the coming months, specifically in Bilaspur and Korba.

Qualitative trends –

Placement of reports –

Placement of reports Moderate Excellent 19% 16%

Good 65%

As many as 16% reports were very well placed and focused on ambulance services, eye camps, Ayushmaan Bharat, diabetes, menstrual hygiene, institutional delivery while 65% reports were well placed and emerged on prime pages and got two to three columns space

Tone of reports-

Tenor of reports 300 203 200 129 100 11 0 CrisisUnrest Critical Informative

Fifty nine percent reports has informed pitch, 38% were on crises related to strike of doctors, ambulance services and Ayushman Bharat, 3% reports were critical reports including death of 16 children in one week in Assam hospital, and a study report stated that over 5000 newborn died within 24 hours of birth in Chhattisgarh

Format of reports -

Voices 60 50 40 30 20 10 0 Doctors Educationist Govt. Officials Health Worker Politician

Maximum voices were of government officials and doctors.

Byline recorded –Five byline reports found written by: Abhishek Rai-Ayushmaan Bharat, Arvinda Pandey-Mid day meal, Dr.Vijay Ananda Baghel- Diabetes, Jitendra Dahiya- facility services

REPORT FOR THE MONTH OF OCTOBER, 2018

Title of the Project: Engaging with and using media as a tool for advocacy and demand generation of health seeking behaviour.

Project Goal: Enable an increase in the public and policy engagement with RMNCHA+N program by using media advocacy.

We began work immediately and Ms Aarti Dhar, Project Incharge (Chhattisgarh) and Ms Ranjana Dwivedi, State Project Manager (UP) visited Raipur on September 25 where we met the Health Secretary, Ms Niharika Barik Singh; Mr R. Prasanna, Commissioner Health Services; and Dr Sarveshvar N. Bhure, Mission Director, National Health Mission and Mr Arun Dubey, IEC incharge of NHM. We explained to them, in detail, our project. The officers were keen that we should start work immediately and that we should build capacities of IEC staff and the Health Department in Raipur as well. The Health Secretary said we should have a formal meeting with all programme heads in the next visit and assured us all help for a smooth launch of the project.

We called on Mr Sunil Kumar, chairperson of the CSR Committee of SECL to thank him for the support the committee had extended in approving our project. It was a courtesy call.

Workshop : A major highlight of the month was a workshop on `` Shared Perspective for Media Advocacy on Health’’ organised by CFAR for senior officials, programme heads, IEC officers, PROs, partners and stakeholders on October 26 at NHM office at Atal Nagar.

The main objective of the workshop was to understand how media advocacy could be used for demand generation for health seeking behaviour among the communities.

Apart from developing a common understanding on the need of media intervention, it also took stock of the Health Department’s experiences with media. The workshop sought to inform the senior officials and other participants about the proposed media advocacy plan to be implemented by CFAR.

Outcomes of the workshop :

• Officials of the Department of Health and Family Welfare, National Health Mission and their partners in health were oriented about the CFAR programme. • Stakeholders were informed about the need of media advocacy in health. • Taking stock of the expectation of the Department of Health and Family Welfare and National Health Mission from the CFAR project. • The Commissioner, Department of Health and Family welfare agreed to training of official on media engagement.

Suggestions/Recommendations :

1) CFAR should train people in the Department of Health and Family Welfare and National Health Mission on what should be shared with the media and what not. 2) Sensitise media that most of the health problems such as dengue, diarrhoea, and infections are not always related to the Department. 3) Train people in how to respond to the news reports. 4) CFAR should meet with the Health Department social media team to help them with content and messaging. 5) CFAR should create content to be put up on the website. Some of these could be backgrounders so that journalists can just look up the website and use the content instead of calling up officers. 6) Officers should give out all information in writing to prevent misquoting and incorrect information. 7) CFAR should do a baseline survey of how many reporters do in-depth stories. 8) CFAR will identify some journalists who can be sensitise and trained

(Detailed report on workshop is attached)

Progress on hiring :

We have already hired Ms Surabhi Singh in Raipur who heads the Raipur office.

Ms Kanchan and Ms Angelina have been shortlisted for Raipur office.

We have shortlisted a couple of spaces for office accommodation and one of these would be finalised soon.

We are in the process of hiring and setting up office in Bilaspur as required under the contract.

Meetings with editors/journalists:

We have met a number of editors and journalists in Raipur and apprised them of our project while seeking their help in publishing health-related stories and sending their reporters on media sensitisations.

List of journalists we have met: 1) Mr Ruchir Gupta, Navbharat (he has since resigned and joined a political party) 2) Mr Mohan Rao, editor of Hindi Pioneer. The paper brings out one page on health every day and there is ample scope for our stories. We have also met the health reporter, Mr Manoj who showed keen interest in our project. 3) Mr Shirish Mishra, Input Editor of IBC24, a leading channel, who assured us all help in coverage. 4) Mr Sunil Kumar, Editor/owner Dainik Chhattisgarh. He assured to use our stories and send his reporters for sensitisation.

Media Monitoring and Tracking: Quantitative media trends: Chhattisgarh health August 15 – October 15, 2018

1000 928 District wise reports 800 Total - 1562

600 447 400 187 200

0 Bilaspur Korba Raipur

The number of reports published in Raipur is high because it is the State capital.

Theme wise reports 800 661 674 700 600 500 400 300 162 200 100 26 25 13 0

Reports on newborn, maternal and adolescent health are least in number

Publication wise reports

Chattisgarh The Bhaskar, 339 Hitavada, 423 Nai duniya, Chattisgarh 194 Patrika, 606

Patrika and Bhaskar are two Hindi newspapers that carried the largest number of stories/news reports on health. Issues Routine Immunization, 56 Nutrition , 53

Strike, 63

Health Camps/, 88 Seasonal Diseases , 528 Negligence in service , 98

health services , 275

The number of seasonal diseases is high because of Dengue outbreak in August.

Qualitative media trends: Chhattisgarh health August 15 – October 15, 2018

Tenor of reports

crises , 711 Informative , 688

critical , 162

Crisis is negative reporting or where the government is being questioned. Such reports are high in number as these include systemic failures as well. Voices 160 143 140 120 100 80 60 40 30 20 5 6 3 0 Beneficiaries Doctor Officials Health workers Politicians

Government officials are the most quoted people in the news reports as it gives credibility to the report

Format of reports 1499 1600 1400 1200 1000 800 600 400 200 44 12 5 2 0 Advertiesment Article Editorials Info-graphic News Report

News reports include a large number of event-based items.

Excellent, 141

Moderate , 480

Good, 940

Placement of reports

Excellent report is described as the one that has a picture/infographic, good display, voice, data and adequate information about the issue. Story sharing: We have not been able to share any stories so far because of the Model Code of Conduct in place for Assembly elections. The officers are not ready to share success stories with us as they feel it would be a violation of the code of conduct. Hence, we are lagging in this, but we have no doubt that we will catch up and fulfil the targets after November 20 when both phases of polling end in the State.

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