Centre for Agro-Ecology and Development (CAED) Women's Reproductive Rights Program (WRRP)

Discussion with women's network in Sisautia village in

Report # 5 July – December 2019

Women's Reproductive Rights Program (WRRP) Centre for Agro-Ecology and Development (CAED) P.O. BOX: 4555, , Phone: 01- 5180340, Khotang: 036-420729, Sarlahi: 046-521312 Email: [email protected], [email protected], [email protected] Website: www.wrrpnepal.org / www.Caed.org.np

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Table of Contents

1. INTRODUCTION ...... 4 2. BROADER CONTEXT ...... 4 3. MAJOR ACHIEVEMENTS ...... 6 4. METHODOLOGY ...... 8

MANAGEMENT ...... 8 MCC MOBILIZATION ...... 8 5. LEARNINGS ...... 9

ADAPTATION OF THE LEARNINGS ...... 9 SUMMARY OF WHAT WORKED ...... 12 SUMMARY OF WHAT DID NOT WORK SO WELL ...... 13 6. ACTIVITIES ...... 14 7. FINANCIAL STATEMENT ...... 16 8. ANNEXES ...... 16

WRRP RESULTS CHAIN, 2019 DECEMBER ...... 16 WRRP FO COMMON RESULTS CHAIN, 2019 DECEMBER ...... 16 MCC PROGRESS INDICATORS, 2019 DECEMBER ...... 16 PHOTOS ...... 17 MCC SELECTION CRITERIA CATEGORIZED INTO ELIMINATING CRITERIA, AND PREFERENTIAL CRITERIA ...... 22 WRRP TEAM, CNGOS AND ASSOCIATED MCCS IN DISTRICTS ...... 22 WRRP COVERAGE AND RURAL MUNICIPALITIES AND FORMER VDCS ...... 23

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Abbreviations

ADRA Adventist Development and Relief Agency ANC Antenatal Care ANM Auxiliary Nurse Midwifery ASRH Adolescent's Sexual and Reproductive Health Rights AYON Association of Youth Organizations Nepal BSS Bal Sewa Samaj BWSN Bagmati Welfare Society Nepal CAED Centre for Agro-Ecology and Development CNGO Collaborating Non-Government Organizations CPS Community Potter Society DEPROSC Development Project Service Centre DJSS Dalit Janjagaran Sewa Samiti FAQ Frequently Asked Questions FCHV Female Community Health Volunteer FO Fastenopfer FPAN Family Planning Association of Nepal GEC Girls' Empowerment Campaign HDF Halesi Development Forum HKI Hellen Keller International/Nepal I/NGOs International/Non-Government Organization IGA Income Generation Activities JSSN Jana Sewa Samaj Nepal LG Local Government MCC Model Couple Campaigners MHM Mesntrual Hygiene Management MoPP Madhesi Organization for Poor People NEWAH Nepal Water for Health NEWS Nepal Welfare Society NJYC Nawa Jyoti Youth Club NPR Nepali Rupees NRCS Nepal Red Cross Society NYPSS Nawa Yuba Phulpati Sewa Samaj ODF Open Defecation Free POP Pelvic Ogran Prolapse PRERANA Support Group for Participatory Development PTA Parent-Teacher Association RM/Ms Rural /Municipality RRN Rural Reconstruction Nepal RRPK Rastriya Rojgar Prawardan Kendra RUWA Rural Upliftment Women Association RYERC Rural Youth Empowerment and Research Centre SABAL Sustainable Action Resilience and Food Security SMC School Management Committee SRHR Sexual and Reproductive Health Rights SSC Social Service Club STJC Sagarmatha Tarun Janajagriti Club USAID United States Agency for International Development VDC Village Development Committee VCDC Village Community Development Center VDS Village Development Society WRRP Women's Reproductive Rights Program

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1. Introduction

Women's Reproductive Rights Program (WRRP), one of the undertakings of Caed, in its phase V (2018- 2021), has been taking up POP/SRHR and women's/girls' empowerment issues in Khotang and Sarlahi as base districts/ rural municipalities/municipalities and other areas as outreach districts/rural municipalities/municipalities with the support of Fastenopfer (FO). The primary goal of program is to end structural discrimination against women and girls and empower women and girls to enjoy equal rights and opportunities with improved quality of life. The program embraces multi-layer collaborative approach working with grassroots in isolated and disadvantaged areas, generating evidences in order to advocate the issues to local and provincial level governments. It is also engaged in widening the issues to outreach districts/rural municipalities/municipalities following evidence-based collaborative advocacy approach using evidences generated from grassroots in the base districts as the basis for advocacy and formulation of policies, strategies and plans. WRRP has been undertaken in 5 wards of 3 RM/Ms namely M (ward no 8 and 10), Kaudena RM (ward no 1 and 3) and Chakraghatta RM (ward no 8) in Sarlahi district and 4 wards of 2 RMs namely Aiselukharka RM (ward no 1 and 7) and Rawa Besi RM (ward no 4 and 5) in . Among the covered wards, ward no 8 of Chakraghatta RM is taken as exemplary ward and ward no 3 of Aiselukharka RM is implemented with the funding support from other organizations and technical support of CAED. This report was compiled based on the acquaintance with the local/broader context, on-site observation of the events, interventions and the outcomes (progress), in-house discussions within Caed/WRRP team, on-site interactions with concerned stakeholders and community people, discussions during review, reflection, learning and planning meeting with CNGOs/MCCs and study of periodic reports of CNGOs and covered the period of July to December 2019.

2. Broader Context

Provincial government in Province 2 tabled an increased budget of NPR 38.72 billion for the current fiscal year (FY 2076/77) compared to NPR 29.78 billion for the last year. In the budget speech it gave priority to education, health, and agriculture sectors. However, the government has been implementing ‘Educate Daughter; Save Daughter’ (Beti Padhau, Beti Bachau) program in all districts including Sarlahi to help girl children and adolescents increase access to education. It launched Daughter Education Insurance Program (Beti Shiksha Bima Karyakram) in all districts under which the government would provide NPR 125000 to every girl child born after 1 Magh 2075 when they attain the age of 20 years. For this, sum of NPR 500 will be deposited per month for each of the girls studying up to grade 8 in community schools. The government has focused on providing scholarship to daughters born in poor families. The Federal Government has provided with a grant of NPR 5 billion to Province 2 Government for implementation of the plan. Under ‘Educate Daughter; Save Daughter’ program, the government also distributed 14000 bicycles to girl students of grade 8 of community schools in all districts. In WRRP working area, a total of 221 adolescent girls from Godaita 8 and 10 and Kaudena 1 were provided with the bicycle.

Province 2 government has also envisioned making the province open-defecation free zone within the next fiscal. It worked very actively to stop people defecate in open space. There were violent incidences when the police, in collaboration with local NGOs, went to the open-defecation area near villages early in the morning people were out with a Lota (toilet wash jug) for defecation, arrested and put the people while defecating into police van and took them to their village and presented them to other villagers that they were the people defecating in open space. Local people threw bricks and stones at police personnel appearing at the defecation areas during the time of defecation and an inspector of police was seriously injured while arresting and putting the defecating people into the police van.

All RM/Ms covered by WRRP announced annual plan and budget for FY 2076/77 during their rural municipal/municipal council meetings. Godaita Municipality announced a budget of NPR 344 million for the FY 2076/77. It allocated NPR 1 million for strengthening health posts in each of the wards. Similarly, Kaudena and Chakarghatta Rural Municipalities announced budgets of NPR 174 and 207 million

4 respectively for FY 2076/77. They have allocated nearly 50% of the budget for the development of infrastructures such as road and allocated very small amount of budget for women targeted programs.

Ward No. 3 of Kaudena RM has almost finished construction of birthing center. Health services provided by most of the health posts are very poor in most of the RM/Ms. There is lack of health workers, birthing centres, medical instruments and even free drugs such as iron tablet, paracetamol etc. in most of the health facilities and people need to rely on private clinics and pharmacy for the medical treatment.

In Rawa Besi RM of Khotang distrct, a vehicle of Rawa Besi RM which was parked in the home of RM Chairperson was put on fire by the party cadres of Nepal Communist Party (Biplav). Likewise, in Diktel Rupakot Majhuwagadi Municipality, ward no 8, three excavators which were in use for constructing roads in Pushpa Lal Lok Marga were put on fire by an unknown group.

Civil Servants Adjustment Process has not been completed yet mainly in the health sector. Most of the health facilities lack human resources to provide health services at local level. For example, there is only one assistant health worker in Rakha Health Post for over 5 months and pregnant and postnatal mothers are deprived of getting medical services such as ANC, PNC and child delivery. Most of local government were unable to spend all the budgets provided by federal government. In the fiscal year 2075/76, nine RM/Ms returned amount of NPR 123 million to the federal government. WRRP covered Rawa Besi and Aiselukharka RM also returned amount of NPR 17 million and 22 million respectively to the Federal Reserve Fund of the government.

In the budget speech for FY 2076/077, federal government made increment of 20% of salary for non- gazetted and 18% of salary for gazetted civil employees, security personnel, teachers and lecturers those remunerated from government fund. Similarly, elderly allowance was increased to NPR 3000 per month and differently abled, single women allowance was increased by NPR 1000 per month. Following this, banks and financial institutions also increased salary of their staff by an average of 17.5%. Increase in salary of employees in government offices, schools, colleges, banks and financial institutions caused increase in the market price of daily essential consumable goods.

In the fiscal year 2076/77, government planned to distribute sanitary pads free of cost in order to improve the health and education situation of girls going to school. Schools in the covered areas have also received sanitary pads but adolescent girls are not benefitted much because of lack of gender friendly toilet provided with water facility and provision of dustbin to dispose the used sanitary pads.

Aiselukharka RM has been providing free ambulance services to pregnant women and because of this which institutional delivery in health facilities has been increasing in Aiselukharka RM. Women, Children and Senior Citizen Division Office of Aiselukharka RM have planned to operate girls education in all schools of Aieselukharka. Similarly, Rawa Besi RM has planned to extend the services of birthing centre in places where there are no birthing centres. It has planned to start operation of birthing centre soon in ward no 4 (Dumre Dharapani) and 5 (Dubekol) of the RM. WRRP covered area such as Aiselukharka, Rakha, Makpa and Dubekol are connected by road network but only the small four wheeler vehicles operate during the monsoon season. During the rainy season travelling by bus is not possible due to road blockage by landslides; it is only after monsoon season travelling by bus is possible.

Stakeholders in all covered RM/Ms in both Sarlahi and Khotang districts are supportive towards WRRP. They accept WRRP's invitation and participate in the program organized by WRRP from the start to the end. Elected representatives of RM/Ms do not expect sitting allowance but the other staffs expect sitting allowance. Community people are also supportive to WRRP in the covered RM/Ms.

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3. Major Achievements

 Increased trend of out-of-school adolescent girls re-joining their schools MCC through household visit, discussions and repeated follow-up on importance of school education with out-of-school adolescents and their parents motivated 15 adolescents (girls 80%, dalit 27 %, muslim 13%) to re-join their schools named Shree Janta Secondary in Aaurahi and Beni Bhola Secondary School in Godaita. Last year MCCs were successful in motivating only 8 out of school adolescents to re- join their school.

 More child marriage stopped by interventions of MCCs in villages 34 child marriages (85% girls and 15% boys) including 21 marriages in ward no 8 and 10 of Godaita Municipality, and 3 in ward no 8 of Chakarghatta RM and 10 in ward no 1 and 3 of Kaudena RM have been stopped by active engagement of MCCs in stopping child marriage in close coordination and collaboration with respective ward committees and RM/Ms. Joint action of Godaita Municipality , Deputy Mayor, Ward Chairperson of Ward no 8, MCCs and local Police Office was very successful in creating a fear among local people that child marriage is an illegal act and will be arrested and punished by the police if somebody is found doing child marriage of their children. The role of MCC was very important in creating/activating this informal system against child marriage and causing the local people become afraid of doing child marriage.

 Adolescent girls have been very vocal in taking up ASRH issues to concerned stakeholders Leadership and life skill training and frequent discussion with adolescents on various issues of ASRH has developed confidence among adolescents and helped them in talking about their sexual reproductive health issue without hesitation with their peers, family members and teachers. Students from Makpa Secondary School wrote the script and performed street drama on child marriage and POP issues by inviting RM chairperson, vice chairperson, people's representative, teachers and parents to watch their performances. Students from Gangodaya Secondary School, Dubekol submitted memorandum of demands to the RM chairperson demanding support for construction of gender-friendly toilet in their school. Life skills trained adolescent girl from Deurali Secondary School recited poem on child marriage issues in an inter school elocution competition and won the first position.

In Sarlahi, adolescent girls were very vocal in demanding for sanitary pads and gender friendly toilets to school teachers and local government executives. They talked to their friends about the effects/impacts of child marriage and menstrual hygiene management and motivated them to marry after the age of 20 years. They also trained them to make reusable sanitary pads using locally available cloth pieces that helped girls attend school regularly even during menstruation. They are encouraging their out of school friends in village and family members such as sisters, aunts and mothers to use sanitary pads during menstruation.

 Local governments continued conducting programs on POP/SRHR issues in base districts Local governments continued giving priority to conducting programs on POP and SRHR issues in base districts. Rawa Besi RM has developed a program called 'Post-natal Mothers with Vice Chairperson' with a budget of NPR 500,000 focusing on postnatal mothers. It will be implemented after preparing a formal operational guideline in coordination with different stakeholders of health, education, agriculture and women and child office in the RM. Rawa Besi RM ward no 4, Dumre Dharapani has allocated NPR 300,000 to raise awareness on child marriage and POP issues in all the household of the ward. Similarly, Aiselukharka RM allocated NPR 300,000 for providing training to ANMs from all ward health facilities on POP, ring pessary insertion and SRHR issues with technical support from WRRP/Caed. The training will be conducted soon after ANM adjustment in the ward health facilities of the RM is completed. Similarly in Sarlahi district, Godaita Municipality has allocated NRP 1700,000 under women empowerment heading giving priority to activities focusing on domestic violence and empowering women and girls.

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 21 POP survivors benefitted from counselling and link-up support by MCCs and WRRP Women surviving with 2nd and 3rd degree of POP came to MCC for sharing their problems and consulting for prevention and treatment. MCC motivated 34 women with 2nd degree for pelvic floor muscle exercise and insertion of ring pessary from health facilities and hysterectomy for women surviving with 3rd degree POP. WRRP, CNGO and MCCs coordinated and supported a total of 21 POP survivors including 12 women from Khotang and 9 from Sarlahi district to undergo surgical treatment in Kathmandu Model Hospital, Kathmandu and Sheer Memorial Hospital, Banepa. It worked as driving factor and a source of inspiration for MCCs to be more committed to work and bring about more changes in the community.

 More RM/Ms identified POP/SRHR as a priority public health issue in outreach districts During this year, POP/SRHR issues have been widened into 4 new outreach districts namely , Parsa, Palpa and Syanja and also provided technical support to RM/Ms of other previously covered districts. Most of the RM/Ms in covered outreach districts have owned the issue and are giving priority in allocating budget and conducting programs to address women SRHR and POP survivors wellbeing. Putalibazaar Municipality in Syanja district allocated budget for ANM training and requested Caed to provide technical support. Melamchi Municipality in Sindhupalchok district provided orientation on POP and SRHR issues to nearly 180 women of ward number 1, 5 and 13 and also allocated NPR 600,000 for organizing POP screening camp in the municipality. It has started providing free emergency ambulance service to pregnant mother and also made provision of providing NPR 3000 per person for a mother giving birth in health facilities. Similarly, Manebhanjyang RM of allocated NPR 1,000,000 for training to women’s groups on POP and its preventive measures in 9 wards of the municipality. Kalikasthan RM in conducted training on POP and SRH problems to health workers of all wards and has been planning to provide training to FCHVs and men and women of the RM with the technical assistance from Caed.

 Decreasing trend of adolescent pregnancy in Khotang There was decreasing trend of ANC below 20 years in Khotang district during 2018 and 2019. No of pregnant women under 20 years of age attending ANC in the covered areas decreased by % from a total number of 20 women during a half yearly period of Jul-Dec 2018 to a total number of 12 women during the similar half yearly period of Jul-Dec 2019. It indicated that there was decreasing trend of child marriage and adolescent pregnancy in the area.

 POP/SRHR and child marriage issues continued receiving media coverage in base districts Contents such as news report and expert interviews on POP/SRHR issues and child marriages were published/broadcasted 27 times in a total 6 local newspapers and FM Radio stations namely Khotang Khabar, Halesi Khabar, Rupakot Saptahik, Halesi FM, Rupakot FM and Himal FM. Before, there were only some 5 news reports and expert interviews published/broadcasted in the local newspapers and FM radio stations. There was also increasing trend of publishing/broadcasting news report and expert interviews on POP/SRHR issues and child marriages in Sarlahi district.

Godaita Municipality stopped child marriage in collaboration with MCCs A child marriage was going to take place on 18 April 2019 (5 Baishakh 2076) in Godaita village in Godaita Municipality, ward no 8. Dev Kumari Das, a MCC associated with VDS/Caed, heard about it and went to meet parents of the girl child whose child marriage was going to take place in order to convince them that they should stop child marriage of their daughter as it is a social crime and will be punished by the law. But they didn't agree to stop the child marriage. Thereafter, Dev Kumari informed about this event to Ward Chairperson of Godaita ward no 8. The ward chairperson informed about the event to Deputy Mayor of Godaita Municipality and Deputy Mayor informed this to Mayor of Godaita Municipality. After knowing this, the mayor of Godaita Municipality informed the Police Office about the possibility of taking place a child marriage in Godaita village of ward no 8 in Godaita Municipality. Thereafter, the police went to Godaita village and arrested the child and his/her parents on 18 April 2019 and took them to the Police Office. In this way the child marriage was stopped. In the same year, 4 more child marriages were going to take place but all of them were stopped by the effort of local government

7 executives, police office and the MCC Dev Kumari Das. During the period of April to December 2019, a total of 21 child marriages were stopped in Godaita Municipality ward no 8 and 10 by the joint action of local government executives, MCCs and Police Office. Nowadays, local people are afraid of doing child marriage because of a fear created among local people that child marriage is an illegal act and police arrests people doing child marriage. (Source: Dilip Yadav, VDS Sarlahi)

4. Methodology

Management Caed has been working in Khotang and Sarlahi since 2015 with the aim of improving women's reproductive health and building equitable society for all. It has district offices at , Sarlahi and Diktel, Khotang and the main support office is situated in Kathmandu. District office coordinates with concerned municipalities, rural municipalities, government line agencies, civil society organizations and I/NGOs working in the sectors of gender-based discrimination and violence, women and girls empowerment and POP/SRHR issues. In addition to it, the offices provide support to CNGOs to advocate on the identified thematic issues and undertake activities in the community. In the community level the district office also works with women networks, schools and youth clubs for addressing our issues.

District offices organize meeting every month to evaluate the progress and discuss about the gaps while working. They also plan activities for the upcoming month and talk about the achievement and changes during the meeting. MCCs are provided insight coaching by the CAED support office and are frequently monitored by CNGOs and district offices. Necessary information is exchanged through phone, emails with the support office and the team. Both Sarlahi and Khotang team held meeting once a month to discuss about the progress.

Kathmandu support office provides technical support to the district offices. It provides suggestions, counseling, monitoring, evaluation and positive feedback to the district offices. Provides training to the staffs whenever needed. It collects/produces resource materials such as for enhancing knowledge and skills and using codes in group discussions and household visit and conducts field monitoring visit to hold discussions with MCCs, CNGOs and provide in-site need-based coaching and support on a regular basis. MCC Mobilization Model Couple Campaigners (MCCs) are considered as one of the most important pillars and frontline workers of WRRP. Altogether there are 9 MCCs including 5 MCCs in Sarlahi and 4 MCCs in Khotang districts associated with 2 CNGOs each in 2 districts. It was observed that MCCs are making efforts to bring about changes in intra-household dynamics (gender power relation and control over resources) with due attention to reduced workload of women and discriminatory gender norms, reduced child marriage and enabled daughters to study higher, management of homestead land, improvement in physical appearance of house and surrounding, getting included in local political and developmental structures and processes and demonstrating caste, ethnic and gender sensitive attitudes, behaviours and sociocultural norms within their household and extending the same to other families in their village. A list of “eliminating” (must have) and “preferential” (nice to have) indicators have been identified to do focused monitoring of MCCs and WRRP has been using them to monitor progress of MCCs. Details on WRRP district teams including CNGOs and associated MCCs are in the Annex.

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5. Learnings

Adaptation of the Learnings Learnings Remarks (based on learnings Actions/Adjustments SN (progress made or further from previous reporting (actions that has been taken) adjustment needed) period) 1 Life skills trained Life skills trained adolescents were WRRP will continue adolescent will supported to coordinate and supporting/facilitating coordinate and collaborate with previously life skills coordination and joint action collaborate with trained adolescents and take up child among life skills trained previously life skills marriage, MHM and dowry issues in adolescents in villages. trained adolescents to their villages. They actively joined the conduct ASRH sessions rally against child marriage and and raise awareness on dowry system in Kaudena RM and child marriage, MHM Godaita M on the occasion of and dowry issues International women's day. They provided orientation to 40 women about making home-made sanitary pad at Kaudena RM. They did advocacy to principal of Devdhari higher secondary school of Kaudena RM, ward no 1 for construction of gender friendly toilet in the school 2 WRRP will start result MCC selection criteria categorized It is realized that the based payment system into (a) eliminating criteria, and (b) indicators are a bit technical for MCCs from July. preferential criteria. WRRP followed to identify real leaders of Furthermore, the it to monitor progress status of MCCs social change in the criteria for MCCs will be and used also as the basis for results community. It is felt that divided into eliminating based payment to MCCs. Results some of the indicators such and preferential criteria based payment system was applied as no 1(a), 2, 8, 10, 16 and 17 and monitoring will be for MCCs from October, 2019 to should be changed from done based on these December, 2019 based on “eliminating” (must have) to criteria. eliminating and preferential criteria “preferential” (nice to have). and monitoring was done based on This will give space for these criteria. increased inclusion of dalits and low income people in MCCs. Indicators such as no 12, 13, 14 and 17 reflect direction towards identifying persons having quality of social leaders.

The list of 'eliminating' (must have) and 'preferential' (nice to have) indicators will be used when selecting MCCs in new areas. These indicators will be adapted according to the respective geographic region. Emphasis will be 9

given on spending sufficient time in the community to identify “social leaders” before starting the program in new areas. An ongoing revision, reflection and adaptation of the criteria will be done to enhance its relevance and effectiveness in the program. 3 WRRP will continue WRRP has established functional WRRP will continue coordination and relationship with schools in Khotang coordination and collaboration with and Sarlahi districts. Life skills collaboration with schools in schools and help school training and other school-based a functional manner and help authority internalize the activities were planned and school administration issue and build sense of implemented in close support and internalize the issue and ownership at the coordination with school teachers build sense of ownership at program. and administration. the program. 4 WRRP will continue and Women's network have been formed WRRP will continue and increase its one each in 5 WRRP covered wards increase its support, coordination with ward and their registration with RM/Ms is coordination and executives to facilitate in process in Sarlahi district. RM/M collaboration with RM/Ms formation of women’s has asked for submitting them the and ward executives to help network. WRRP will constitution/working procedure of women's network become continue enhancing the the networks. The networks were strong and functional on capacity of network and provide with support to enhance POP/SRHR issues. mobilizing them on their capacity on POP/SRHR issues by POP/SRHR issues while WRRP Sarlahi team and Coordinators helping to establish of CNGOs. linkages with Ward In Khotang, attempts to facilitate Committees of RM/Ms. formation of women's networks in Rakha and Makpa were not successful due to conflict between women leaders of two political parties. Nevertheless, women networks in Dumre and Dubekol are active and WRRP provided them support to enhance their capacities on taking up the issues. WRRP Khotang team conducted interaction meeting with women's networks 2 times in Dumre and 3 times with in Dubekol and following the interaction meeting, both of the networks were successful in receiving NPR 20,000 each from RM and organized programs on POP/SRHR, child marriage and women's/girls' empowerment issues on the occasion of Teej festival. They, in coordination with ward committees, were also successful to influence Rawa Besi RM, ward no 4 to allocate NPR 300,000 to undertake programs at community

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level on POP/SRHR, child marriage and women's/girls' empowerment issues.

5 WRRP will apply the WRRP has been applying modality of It will be continued by modality of creating creating fear of legal prosecution and organizing interaction fear of legal prosecution adverse consequences of child workshop for Pandits and adverse marriage in the campaign against (Brahmin), police personnel, consequences of child child marriage while organizing street local government executives marriage in the drama, stage drama, rally, videos and representatives, campaign against child show, in both Khotang and Sarlahi opposition party leaders and marriage. More people districts. conducting intensive will be oriented on legal household visit to parents provisions and adverse and grand-parents of consequences of child children. marriage by organizing events such as street drama, etc. 6 Continuous Coordination with FCHVs in Sarlahi WRRP will continue support, coordination with was not successful as they demanded coordination and FCHVs will be done allowances for interactions with collaboration with FCHVs to linking MCCs in them and incentives for their work in motivate the cover the topics conducting discussions the community. However, FCHVs in of the issues of POP/SRHR, at ward level. Khotang were supportive to the child marriages and issues raised by WRRP. They have adolescent pregnancy during been covering topics of POP/SRHR meetings with mothers' and child marriages in the discussions groups in villages. with mothers' groups in villages. 8 WRRP will increase its WRRP team coordinated with RM/M WRRP will continue formal and informal executives and representatives only increasing formal and sharing visits to RM/M in formal programs but did not carry informal executives and out informal sharing visits to them on sharing/coordination representatives in order a regular basis in order to build and visits/meeting to build and to build and strengthen strengthen mutual trust and increase strengthen mutual trust and mutual trust and coordination and collaboration. In increase coordination and increase coordination Khotang, programs to challenge collaboration with them to and collaboration. violence against women and girls formulate and implement were organized in collaboration with policies and programs on the Rawa Besi RM, Aiselukharka RM and issues. Diktel Rupakot Majuwagadhi municipality on the occasion of 16 Days of Activism Against Gender- Based Violence campaign. WRRP supported Rakha and Aiselukharka RMs to carry out monitoring of WRRP by the executives of the RMs. 9 MCCs will be mobilized MCCs in both districts motivated and WRRP will continue to motivate and convinced a total of 21 POP survivors mobilizing MCCs to motivate convince POP survivors to access the surgical treatment and convince POP survivors to access the surgical services during 2019. Caed to get timely medical treatment services. The coordinated and linked POP survivors treatment of their POP list of FAQ in the with ADRA, which is supporting POP problems in government community with their survivors of Sarlahi district to access health facilities. answers will be free surgical treatment bearing the

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provided to MCCs which cost also of the caretakers. will help them in convincing POP survivors, pregnant and post natal mother to access health services. 10 Caed will assess the 10 sets of sports dress were provided WRRP will continue providing effectiveness of each to Beni Bhola Namuna support school to utilize GEC providing GEC (Girls Secondary School and Narayan Hari (Girls Empowerment Empowerment Secondary School of Godaita Campaign) management cost Campaign) Municipality. 3 cupboards were properly as per the need of management cost by provided to Janata Secondary School the school. discussing also with the of Aurahi in Chakraghata RM, CNGOs and will support Devdhari Secondary School and school to utilize the Janata Secondary School in Kaudena amount as per the need RM for keeping sanitary pad. such as improving gender friendly environment in the school.

Summary of What Worked Lesson What significant change No Why did it work? Adjustments (that worked) did it bring? 1 Coordination and POP survivors received 12 women from Khotang WRRP will continue link-up support to quality surgical and 9 women form Sarlahi coordination with POP survivors with treatment service from received free surgical other organizations organizations Kathmandu Model treatment of POP. It and hospitals for working on POP Hospital, Kathmandu helped to build trust surgical treatment surgery e.g. and Sheer Memorial among MCCs and services in future. COSAN, ADRA Hospital, Banepa, community people. which helped in maintaining trust among community people towards surgical treatment services and MCCs. Involving RM/M It worked as a platform Local government Continuous follow chief, deputy chief, to show WRRP's executives have made ups and involvement ward chief and efforts to empower commitment to allocate of local government chief administrative women/girls and budget focusing on the will be focused for officer in joint prevent the issues of issues of POP and building mutual trust, monitoring of POP and child marriage women’s and girls’ policy advocacy and program in the community and empowerment. effective execution challenges associated The gaps (e.g. not of program. 2 with it. It also helped providing supplementary WRRP to build and medicines to pregnant strengthen mutual women) form health post trust with local have been identified government executives (Aurahi, Kaudena) and and establish itself as women's network will be an organisation supported to carry out working in the sector advocacy to the 12

of POP, child marriage concerned authorities for and women and girls’ its improvement. In empowerment. Khotang, RM chairpersons expressed commitment to allocate budget for toilets in school in Rakha and Dubekol and support in facilitating the process of forming women's network in ward no 1 (Rakha) and 7 (Makpa) of the RM.

Involving husbands Need based Number of mothers This activity will be or/and mother in discussions were delivering in health continued with law in discussions conducted with facilities has increased in increased with pregnant pregnant women Khotang (from 19 mothers participants of women and/or husbands and to 27 mothers) and Sarlahi husbands or mother mother in laws helped (from 255 mothers to 512 in laws. in making family mothers) understand their responsibilities towards pregnant 3 mothers, need of ANC, delivery in health facility and post natal check-up and need of nutrition through kitchen garden promotion was focused for pregnancy and post natal mothers. 4 Advocacy through 7 out of 9 ward level Continuous discussion on Women's network women’s network women’s network are the issues of child will be provided recognized by local marriage and POP in their training on proposal government (except meetings and writing for budget Makpa and Rakha) as a dissemination of allocation from local formal groups which information related to government for their helped in advocating child marriage and legal sustainability and the issues of provision associated with empowerment. POP/SRHR and child it to the people in the marriage to local community. Godaita-8 government through municipality provided 20 combined efforts of chairs and 4 tents (Tripal) WRRP and Women’s to women’s network. network. Women’s Network of Godaita-10 () stopped 2 child marriages in coordination with ward office.

Summary of What Did Not Work So Well 13

Lesson (that did not No Why did it not work? Adjustment work) Commitments of Most of the elected WRRP will continue influencing local political leaders and representatives did not take steps government executives and police administration seriously to minimize/stop child representatives to work as per their to stop child marriage and dowry practices as commitments and supported for marriage they fear of losing their votes in policy/strategies formulation and upcoming elections. execution on the issues of child 1 Police will only take action if there marriage, POP/SRHR and women’s is a written complaint lodged from and girls’ empowerment. an individual and even if complain is lodged they do not take actions seriously but just separate the boy and girl. Understanding about MCCs and CNGOs coordinators The results to be produced by MCCs results based were found confused on result of Khotang and Sarlahi will be payment system based payment system. There revised and identified additional among CNGOs were very limited number of results with district teams coordinators and results set for the result based separately for two districts as per 2 MCCs. payment which created confusion the context so that there will be among coordinators and also different results to be produced in results to be obtained for two districts. payment were same for Khotang and Sarlahi.

6. Activities

Why and what was the expected change of the activity Describe the No of times What challenges were S How was it activity (what) similar encountered and how to N Why was it different from activity was resolve them? done? previous similar done activity previously The training provided group Participants didn't have equal To obtain work and knowledge and capacity due Leadership 1 outcome 1 1 time- 2019 presentation to which they could not Training and 3 opportunities for participate actively during participants group work and presentation

4 time- 2015 Problems faced Adolescents still hesitate to Mobilization of To obtain 4 time- 2016 by peer educators talk about ASRH and still 2 adolescent outcome 1 4 time- 2017 related to ASRH needs constant knowledge groups and 3 4 time- 2018 were discussed in about ASRH 4 time-2019 detail Discussion on Media To obtain Insufficient data on POP from 1 time- 2016 child marriage 3 Advocacy outcome 1, the areas where we do not 1 time-2019 and POP with 2, 3 and 4 work data presentation The budget was Only few youths were active Youth To obtain 1 time- 2018 given to the and wanted constant 4 mobilization outcome 1, 1 time-2019 organization to economic support for 2, 3 and 4 organize the working on the issue. 14

program. Special day programs like The adolescents In khotang, the students were debate, drama, 1 time- 2015 were asked about informed late by the CNGOs songs on 1 time- 2016 the program they To obtain so many adolescents could reproductive 3 time- 2017 wanted. In Sarlahi 5 outcome 1, not participate. In Sarlahi, health 4 time- 2018 5 schools 2 and3 Conflict between school conducted by 1 time-2019 participated in teachers during the adolescents in the program for competition. school slow cycle race

Interaction Discussion on Difficulty in managing time program with To obtain developing with all the executives and executives and outcome 1, 1 time- 2019 strategy on 6 stakeholders. In Sarlahi, the stakeholders on 2, 3, 4 and POP/SRHR and stakeholders focused only on child marriage 5 child marriage the allowance and POP

Programs with On the occasion out of school of IGCD and 16 adolescents on 1 time- 2015 days activism menstrual Executives had less interest To obtain 1 time- 2016 against VAW taboos, child and importance of the special 7 outcome 1, 1 time- 2017 program was marriage and days 2 and 3 1 time- 2018 conducted on SRHR issues on 2 time-2019 POP/SRHR and the special child marriage in occasions coordination with

RM/M The women's Training, network organizing and To obtain 1 time- 2018 organized a Lack of budget created mobilization of 8 outcome 1, 1 time- 2019 program on their barriers in conducting women's 2 and 3 own with the program networks budget provided

to them In Khotang, beneficiaries of Many people, the program were To obtain groups got a geographically far due to Joint Program outcome 1, 1 time- 2017 chance to express which monitoring was 9 Monitoring 2, 3, 4 and 1 time- 2019 their problems difficult. In Sarlahi, the 5 related to discussion got out of topic and lack of proper time management. Need based Quarterly discussion with To obtain 1 time- 2015 The data collected by MCCs program with MCC was outcome 1, 1 time- 2017 were not in written form due 10 MCCs, CNGOs conducted. 2, 3, 4 and 1 time- 2019 to which the data differs time and CAED Review on the 5 to time. work done by MCCs. The program was To obtain Less participation of mother Discussion on 1 time- 2019 conducted near 11 outcome 1, in law and husband. nutrition and their home and 2 and 3 gender roles on discussed about

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pregnant ANC, nutrition, mothers their rest and postnatal husband, preparation mother in law or their caretaker

7. Financial Statement

Summary of expenditure during January to December 2019 is in the following table. Details are in a separate MS Excel file.

Program Components Budgeted Amount Total Expenses Balance (NPR) A. Community based conscientization 1,855,525 1,856,072 (547) program on POP/SRHR B. Girls Empowerment Campaign (GEC) 1,763,800 1,755,540 8,260 C. Building Knowledge and Skills 2,112,400 2,111,601 799 D. Advocacy and Campaign 1,579,350 1,518,093 61,257 E. Advocacy in Outreach Districts 1,200,000 1,190,975 9,025 F. CNGOs Strengthening 688,000 666,874 21,126 Total Program Cost 9,199,075 9,099,155 99,920 G. Personnel Cost 5,059,080 4,656,869 402,211 I. Field Office Rent 396,000 395,286 714 J. Overhead Cost 735,926 727,932 7,994 Grand Total (NPR) 15,390,081 14,879,242 510,839 CHF 135,001 130,520 4,481

8. Annexes

WRRP Results Chain, 2019 December WRRP Results Chain is in a separate MS Excel file

WRRP FO Common Results Chain, 2019 December WRRP FO Common Results Chain is in a separate MS Excel file

MCC Progress Indicators, 2019 December MCC progress indicators are in a separate MS Excel file

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Photos

Women network members with Ward Chairperson in Godaita 8 during a discussion on POP/SRHR, child marriage and adolescent pregnancy issues

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Girls with their bicycles provided by provincial government taking part in a Slow Bicycle Race organized by CNGOs in Sarlahi

Adolescent girls submitting 'letter of memorandum' to the Chairperson of Kaudena RM

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Adolescent boys learning to make home-made sanitary pad during life skills training in Makpa SS Makpa, Khotang

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Couple with man carrying their baby in Rakha Bangdel in their kitchen garden on the way to health post for PNC

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News story in Nagarik National Daily about POP issues, WRRP's intervention and support to POP survivors in Khotang district to undergo surgical treatment in a hospital in Kathamndu

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MCC selection criteria categorized into eliminating criteria, and preferential criteria

Eliminating Preferential SN Criteria Criteria Criteria Work division at home 1 Heavy lifting and carrying * * Doing dishes and washing clothes * At least 5 types of vegetables, 5 types of fodder and 5 types of * 2 fruits 3 Cleanliness of house and the front yard * 4 Clean kitchen with improved stove * 5 Separate cow-shed, chicken cage and compost pit * No untouchability, no domestic violence, no alcoholic and no * 6 restriction during menstruation Vasectomy by male, no forced use of hormonal contraceptives * 7 such as pills, Dipo Provera, implant etc. by women Fewer children, work sharing between son and daughter, Sending * 8 both to same school, daughters allowed to study and play at home Gender friendly environment at home e.g. allowing them to use * 9 fan, refrigerator, TV, mobile phone, radio 10 Toilet with water facility * Distribution of ancestral property also to daughters, no child * 11 marriage, no presence in the wedding parties of child marriage, letting the newly married couples to come out of home 12 Taking part in local development discourse and practices * 13 Participate in various users groups * Raise voice against the discriminatory practices in society, * 14 improve such situation at home, raise voice in favor of victims Study, listen to the news, write diaries regularly and always carry * 15 pen and a note book 16 Work by preparing monthly, weekly and daily plan * 17 Establish a distinct identity by doing different activity * 9 8

WRRP team, CNGOs and associated MCCs in districts WRRP Team SN Name of Staff Position Station Time 1 Umesh Yadav District Program Officer Sarlahi Full Time 2 Pratibha Pandit Trainer/SRHR Activist Sarlahi Full Time 3 Nirmal Shah Admin and Finance Assistant/Program Assistant Sarlahi Full Time 4 Lochan Shrestha District Program Officer Khotang Full time 5 Kalpana Rai ASRHR activist/ trainer Khotang Full time 6 Yunika Rai Admin and Program Assistance Khotang Full time 7 Samita Pradhan Team Leader Kathmandu Part Time 8 Ram Bhattarai Admin and Finance Officer Kathmandu Part Time Monitoring, Evaluation and 9 Pramod Dahal Kathmandu Part time Documentation Officer 10 Sumesh Bhattarai Program Coordinator Kathmandu Part time 22

Base Districts CNGOs and MCCs Base District Sarlahi SN CNGO Name Name of Staff/MCCs Position Station Time Program Kaudena 01 and 1 Sanjay Kumar Mandal Full Time Madhesi coordinator 03 2 Organization for Madhurendra Raut MCC Kaudena 01 Part Time 3 Poor People Alpana Raut MCC Kaudena 01 Part Time 4 (MOPP Nepal) Birendra Kumar Mandal MCC Kaudena 03 Part Time 5 Punam Kumari Mandal MCC Kaudena 03 Part Time Program 6 Dilip Kumar Yadav Godaita 08 and 10 Full Time Coordinator Village 7 Rambabu Kumar Das MCC Godaita 08 Part Time Development 8 Dev Kumari Das MCC Godaita 08 Part Time Society (VDS) 9 Saroj Kumar Sah MCC Godaita 10 Part Time 10 Sunita Kumari Sah MCC Godaita 10 Part Time 11 Girdhari Sah MCC Chakkarghata 08 Part Time WRRP Sarlahi 12 Lilabati Sah MCC Chakkarghata 08 Part Time

Base District Khotang SN CNGOs Name of staff Position Station Time 1 Program Dubekol, Dumre Birendra Magar Full time coordinator Dharapani Halesi 2 Bhoj Kumari Bhujel MCC Dubekol Part time Development 3 Hiralal Bhujel MCC Dubekol Part time forum (IDF) 4 Sarmila Shrestha MCC Dumre Dharapani Part time 5 Fadindra Shrestha MCC Dumre Dharapani Part time 6 Rural Youth Program Rakhabangdel, Laxmi Rai Full time Empowerment coordinator Makpa 7 and Rabina Sunuwar MCC Rakhabangdel Part time 8 Research Khadga Rai MCC Rakhabangdel Part time 9 Centre Pabitra BK MCC Makpa Part time 10 (RYERC) Durga Bahadur BK MCC Makpa Part time

WRRP coverage municipalities and rural municipalities and former VDCs District CNGO Name Former VDCs RM/M and Ward No MCC Name Sukhchaina Kaudena RM - 1 Madhurendra /Alpana Raut MOPP Nepal Kaudena Kaudena RM - 3 Birendra K/Punam K Mandal Sarlahi Godaita Godaita M - 8 Suresh/Babita Pandit VDS Sisautiya Godaita M - 10 Saroj K Sah/Sunita K Sah CAED Aurahi Chakraghatta RM - 8 Girdhari/Lilabati Sah Rakhabangdel Aiselukharka RM - 1 Rabina/Khadga Rai RYERC Makpa Aiselukharka RM - 7 Pabitra/Durga Bahadur BK Khotang Dumre Dharapani Rawa Besi RM - 4 Sarmila/Fadindra Shrestha HDF Dubekol Rawa Besi RM - 5 Bhoj Kumari/Hiralal Bhujel

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