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Annual Report 15-16

Child in Need Institute Daulatpur, P. O. Pailan via Joka, 24 Parganas (S) - 700104, , Phone : + 91 33 2497 8192/8206/8758/8759/8642 www.cini-india.org

Child in Need Institute We start this year's Annual Report (2015-16) sharing some of our significant achievements at the national level and in the states of West Bengal (WB) and . At the outset let me express my deep admiration for all my colleagues (1,194, excluding volunteers), working in the summer heat and in the rain, reaching out to women and children in remote villages and slums. We acknowledge the wisdom and support of my colleagues and respected Governing Body members, which has been invaluable. Protection and trafficking of children and women has received our utmost attention this year, thanks to the work done by our protection team. Missing, run away and trafficked children first encountered in railway stations are taken into safe custody of our homes for boys and girls in Kolkata and a girl's home in Siliguri.

ORD Village/Slum level Protection Committees under the Govt. of India's Integrated Child Protection Services (ICPS) are facilitated by CINI to start up in the respective project areas in West Bengal (WB) and Jharkhand. In Jharkhand a project supported by International Labour Organisation (ILO) is targeting vulnerable women and girls to stop them from being trafficked, lessons given by women, volunteering in the project, who W escaped from the clutches of traffickers in metro cities. In education, out of a total of 11,478 girls found to be out of school, 8,317 (73%) have been mainstreamed to attend age appropriate classes in local government schools in WB and Jharkhand. As they are at risk of being trafficked, they have been monitored in the GPower project using a software, for which CINI has received the “Mobile for Good” award from Vodafone Foundation. CINI is managing two residential schools in Kolkata, supporting 100 boys and 60 girls from deprived urban communities, supported by SarvaShiksha Mission, School Education Department, Govt. of WB. CINI's Adolescent Resource Centre (ARC) has been working closely with the Govt. supported SABLA

FORE programme and with (NHM), focussing on prevention of anaemia and building capacities to improve sexual and reproductive health status among these vulnerable girls.CINI has been selected as National Training Partner by the Ministry of Health and Family Welfare for the Rashtriya Kishor Swasthya Karyakram, the National adolescent Health program of . In WB, CINI is the State Technical Partner for the SABLA-Kanyashree Convergence program by the Department of Women Development, Child Development & Social Welfare. In health and nutrition, CINI has successfully completed a UK Govt. (DFID) supported, MACHAN, 2 year project in North Dinajpur (WB) and Borough VII in Kolkata, focussing on improving child health and nutrition during the first 1,000 days of life. Other projects supported by various donors including UNICEF and from the corporate sector are targeting vulnerable children and women in slums and villages of WB and Jharkhand. CINI Nutrimix has been an immense success as a low cost nutritious supplement, marketed through CINI Community Initiatives (CINCOMM) to ICDS projects. Production units have been set up at village level by Self Help Groups and in other locations in Sunderbans, Siliguri, Murshidabad in WB and in Jharkhand. CINI continues to train and build capacities in Workers, Supervisors of Govt. sponsored ICDS and ASHA workers from NHM and NGO workers for various locations in West Bengal. A total of 13,111 trainees passed through our training centre during the FY 2015-16. Tata Institute of Social Sciences (TISS), Mumbai, collaborates with CINI to conduct joint vocational training course on Child Protection and Early Child Development, up to bachelor's level.CINI is a collaborating training institute (CTI) by National Institute of Health and Family Welfare ( NIHFW) Government of India, New , for four north eastern states : Arunachal Pradesh, , Nagaland and . CINI IT Cell has collaborated with Digital Empowerment Foundation (DEF), to support NGOs in WB to set up .NGO domains, a website dedicated for the NGO sector. CINI can also be found on www.cini- india.ngo and has been featured by DEF in their February Newsletter. The IT Cell continues to support in- house development of software required by CINI for most of its programmes. We are grateful to our donors both in India and abroad including our support groups in Italy, Australia, UK, Holland and USA, who stood by us very faithfully over the past 42 years. More remarkably even during the recent financial meltdown in the west. Our support from the corporate world in India and abroad under Corporate Social Responsibility (CSR), have started to gather momentum slowly and steadily. This support has allowed us to continue to learn from the poor and innovate, in our effort to reach them with minimal cost and maximum impact.

Dr. Samir Chaudhuri Director, CINI

1 Foreword 1 1975-1985 Milestones 3 1. Under 5 clinic started in Balananda Hospital, Behala and St Vincent School, Thakurpukur, Kolkata 2. CINI getting the identity of a registered society Chapter 1 Introduction 5 3. Disaster relief operations in flood affected Moyna and Sunderbans in West Bengal and cyclone hit areas of and support for Kampuchea refugees. Inspirations 7 4. Maternal and Child Health (MCH) project initiated in Moyna and Baikunthapur of West Bengal

Chapter 2 CINI's Rights-based Approach to Development 9 1986-1995 5. Health programmes initiated in Tollygunje slums in Kolkata Chapter 3 Empowering Adolescents 10 ONES 6. CINI Urban Unit set up for implementing urban health programme focusing on street children in Foundation Day celebrations 13 Kolkata 7. Adopt a Mother programme initiated with support from Ami ci di CINI, Italy ONTENT Chapter 4 Fighting HIV AIDS 14 8. Relief work for victims of communal violence in Tangra, Kolkata

C 9. Regional centre for counselling on HIV & AIDS set up with support from National AIDS Control Chapter 5 Maternal and Child Health 17 Organisation (NACO), Govt. of India 10. Adolescents' programme started Chapter 6 Educating Urban and Rural Deprived Children 22 11. Setting up of Fund Raising Unit in Kolkata CINI IN PRESS 25 12. Recognition as Regional Resource Centre by Ministry of Health & Family Welfare(MOHFW) for Easter Region, Govt. of India Chapter 7 Ensuring Child Participation and Child Rights 26 MILEST 1996-2005 Chapter 8 Maternal and Child Nutrition 31 13. Conferred Collaborative Training Institute (CTI) status for seven North Eastern states by MOHFW, Govt. of India. Chapter 9 Climate Change 36 14. Adolescent Resource Centre and CINI Jharkhand unit was initiated 15. Relief operation for earthquake victims of Bhuj in Chapter 10 Convergence 37 16. Initiation of Life Cycle Approach (LCA) Cell Chapter 11 Capacity Building and Technical Support 41 2006-2013 Photos of events 44 17. Recognised as State nodal agency for rolling out Accredited Social Health Activist (ASHA) under National Rural Health Chapter 12 CINI's Emerging Roles 45 Mission, West Bengal 18. Pilot intervention on Child & Woman Friendly Communities Chapter 13 Partnering Corporate In Progress 47 (CWFC) initiated 19. CINI Jharkhand unit recognised as State Nodal Agency for under Chapter 14 HR and Governance 48 deprived children 20. 12 weeks certificate course on Reproductive and Child Health Chapter 15 Financial Report 50 started in collaboration with Jadavpur University 21. Community Management Initiative (CHCMI) Way Forward 53 launched with support from Dept of Health & Family Welfare and Dept of Panchayat & Rural Development, Govt. of West Bengal Acknowledgements 54 22. State Technical Resource Centre for conducting HIV & AIDS trainings in partnership with National AIDS Control Organisation (NACO), India. Acronyms 59 Professor Sunit Mukherjee, 23. Community College established in partnership with Indira Chairman, CINI with Sponsorship Programmes 61 Gandhi National Open University (IGNOU) Dr Subhash Mukherjee, 24. New CINI logo launched with new branding strategy his colleague,Professor of Contact Us 62 Physiology, Calcutta.

2 3 25. Awarded World Bank supported Development Marketplace project Introduction for income generation of women's groups by marketing low cost hild in Need Institute (CINI) is a registered non-profit organisation (NGO) under the Societies nutritious supplement, “Nutrimix” Registration Act and Foreign Contribution Regulation Act in India. We work with over 1200 Indian 26. Initiated Kolkata CHILDLINE, a 24 Cprofessionals and are guided by a Governing Body composed of experienced Indian practitioners, hour emergency service for academicians and administrators. Founded in 1974 in Kolkata (former Calcutta), West Bengal, CINI now has children in distress, under Ministry operations in the states of West Bengal and Jharkhand with a reach of more than 5 million rural and urban

ONES of Social Justice & Empowerment, population of poor communities . CINI has been recipient of prestigious awards and recognitions for its Govt of India. contribution to development sector from India and around the world. 27. Setting up of Education Resource We work in local communities. Centre in Kolkata We are accountable to local communities 28. Shelter home for homeless Father Mathieson with Jim De Harpporte, women and girls in Kolkata started Director of Catholic Relief Services (CRS) and CINI focuses on the thematic sectors of Maternal & Child and Adolescent Health, Education, Nutrition and with support from Govt. of West his wife at a CINI meeting in the late 70's Child Protection. Starting with programme implementation on the thematic sectors, CINI has always strived Bengal Residential services for for innovations in its way of functioning over the years to add value to the existing policies and programmes boys and girls initiated in CINI of the government. The organization has looked into global approaches and good practice models and put

MILEST Urban unit forward such practices at the local level. Several evidences have been built over the years to justify the innovative practices in the different sectors. CINI has established partnership with the National and State 29. Setting up of Child Protection Resource Centre, in Kolkatalow cost nutritious supplement, Governments in India along with various foundations, corporate agencies, NGOs, schools, bi-lateral agencies, “Nutritimix”. & individuals. These partnerships have not only facilitated with resource support but at the same time enriched knowledge of the thematic persons. These have helped in strengthening the structure and

2013- 2016 CHAPTER 1 repositioning CINI as learning organization. 30. CINI reaches 40th year Mission: Sustainable Development in Health, Nutrition, Education and Protection of child, adolescent and woman in need. 31. CINI's new website launched 32. Compilation of CINI's policies, strategies, operations Core Value Statement: A professional non-profit development organization, dedicated to programmes and communication into a guide book called work with self-help groups, communities, elected representatives, local service providers, CINI METHOD government functionaries and all stake holders, to build and sustain Child Friendly Communities (CFC). 33. New social business initiative of CINI launched CIN COMM 34. Web enabled project planning and monitoring system CIISS The central focus of CINI's programme intervention has always been children and women leading towards launched value for change. The organization directly reaches out to the communities both in rural & urban locations and seeks to break the vicious cycle of poverty, , ill-health, illiteracy, abuse and violence, 35. Launch of Missing Child Alert project addressing cross border affecting particularly the children and women. CINI initially started addressing issues concerning Health & Dr Mark Buntain, Head of Assembly of God Church, child trafficking with support from Plan India Park Street, Kolkata, his project in-charge Nutrition with the First 1000 days approach and subsequently moved into Education and Child Protection 36. Relief operation for earthquake victims of Nepal Mr. Majumdar and Ashu, inaugurating the sectors as well. These four sectors have been the main domains of operation through which the organization has been catering through the Life Cycle Approach (LCA) starting from the day a baby is conceived. As the sewing project for which they donated 37. Department of Health and Family Welfare, Government of child grows up, it is being ensured that the child attends proper growth; mental as well as physical sewing machines to us Jharkhand recognized CINI as nodal agency to strengthen the development through our early childhood care and development inputs followed by formal education and community mobilization cell under NHM, Govt of Jharkhand. protection through child safety nets. CINI ensures that the child continues in school and is protected under 38. CINI was appreciated for its support to Department of Social family safety net. Over the years of working on the four major domains, CINI has developed several tools Welfare and Women and Child Development, Government of Jharkhand in piloting social audit to being used by the communities as well as CINI field team in addressing First 1000 Days, community based strengthen the services under ICDS. malnutrition management, tracking children including adolescents and addressing their vulnerabilities. 39. CINI won the prestigious 'Mobile for Good [M4G]' Award from Vodafone Foundation and stood first CINI has always believed in working beyond its boundaries. Though CINI is primarily eastern region based as the Leading Change Maker under the category of 'Women Empowerment and Inclusive organisation but it has been providing technical assistance to other State governments and civil society Development' for the innovative Project, 'GPower – Successful Transition from Childhood to organizations working in Jharkhand, , , Nagaland, Tripura and Arunachal Pradesh on health & Adulthood'. Accenture, as a pro bono technology partner, conceptualized, designed and built the nutrition and child protection programmes. Apart from this, CINI has also established collaborations through entire digital solution. South Asian Initiative to End Violence Against Children (SAIEVAC, a SAARC apex body) with countries like 40. CINI through its Child Protection Resource Centre and CCRC launched a Bachelor in Vocational Bangladesh, Bhutan and Nepal in addressing cross border child trafficking issues. CINI has been entrusted by Education courses in collaboration with Tata Institute of Social Sciences (TISS) different state Governments especially in West Bengal and Jharkhand to provide technical support to strengthen the existing services through the Government Departments and to promote the inter- 41. CINI through its ARC is contributing to the National policies and programs for adolescent health and departmental convergence. CINI has always worked actively to promote integration within government development, like Rashtriya Kishor Swasthya Karyakram [RKSK], SABLA, Rashtriya Madhyamik systems and has demonstrated working frameworks to promote accountability at different level engaging Shiksha Abhiyaan, Adolescent Education program different stakeholders in a strategic manner. The right based approach of different programme of CINI has attracted attention of policy makers both at the state level and at the national level to replicate the idea by introducing different schemes and programmes at different point of time. With these successes CINI has always been engaged in strategizing and directing its resources to add value to the existing policies responding to the needs.

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CHAPTER 3 Major Highligh Impac 18 17 16 15 14 13 12 11 10 S 9 8 7 6 5 4 3 2 1 l l l l l l o others like W and r Management o c A about T dissemina of plac amount Diamond module including CINI them r CINI S ela ec elebra he elec wnership dministra e IF eiv struc P r I of marriagef I c I I I I c No No No N No No No No No No No P No ar t A ed int ncr ncr ncr ncr ncr ncr egular basis S RKSK was ed ontrac ounseling onSRHandotherissues t ilot ar or o t e chool a tablets ed ed . ofadolesc one thr in o of of of of of of of of of of war ernaliz their ganised amet c tion eased no eased noofadolesc eased no ease ease ease messages f t of ontributing tur int a o as e go adolesc I child out out adolesc adolesc adolesc peer adolesc , ough Harbour-II ndian the t par a -f be e Rs Sta e tion. SABLA, eptiv er was e Na rl v our Management of about c in in in the y er of of ernment among . v onc used e Angan t 26,245 leaders tional C m entions marriages use IF k a Y of the school school the th ommitt no obser T K A inf citiz e methods a . ofadolesc . ofadolesc or girls tistics ent ent ent ent ent erns the her ishori r outh ent girlsr c c in r of wledge the b orma inf onsumption f i ontribution R a ollo ts y T wadi enship t their girls r bo girls gr block the e wasanimpac ashtriya sanitar g endea was o eached raining orma 10 v trained o school e schemes adolesc adolesc t oups ed da v the o ees ys wing p Diwas tion er lak daily pr dev r enr r alloca y w students r o among eached of of eached c raising tion. Na ev t ef hs v in ents withk orkers on elebra y ents doingph ents a e r f or olled among anaemia ec elop ormed P stra t c in Diamond err napk ent Madh tional eachers adolesc Diamond diaries ent ent ar t lif in ently i in fr schools t and o ed t ed tner e t om ed n which egies: sustainable girls girls thr t war the t in and

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Foundation Day Celebrations 13 Fighting HIV AIDS

Targeted Intervention among 350 female Sex workers (1995 Till date): Fighting HIV AIDS Three red-light areas (Bagirhat, Budge budge, Baruipur) CINI's interventions in HIV sector started from 1995 with the basic goal to “prevent, halt & to begin the reversal Sl. No. Parameter Coverage of impact of HIV/AIDS in India”. In collaboration with NACO and WBSAP&CS, the program has been scaled up in 17 districts in West Bengal and Jharkhand each. 1 Area of Operation 2 Urban Female Sex Workers 350 Strategic Priorities 3 High Risk Group reached and contacted regularly 100% (as per target) l Reducing the vulnerability of HIV infection amongst High Risk Groups (HRGs) and Most At Risk 4 Total Condoms distributed through Social Marketing 100% Population (MARP) 5 Urban Female Sex Workers tested for ICTC 78% l Improvement of the Quality of Life of PLHAs through a community based Care and Support model 6 Urban Female Sex Workers screened for STI 96% l Enhancing the capacity of human resources in case of prevention, care, support, at district as well as state level

CHAPTER 4 Indian Initiative for Child Centered and HIV/ AIDS Approach l Mainstreaming HIV/AIDS by involving & capacity building of different stakeholders at different level covering 330 PLHIV (2007-Till date) Impact in Statistics IICCHAA makes use of a child-centered approach in communities infected & affected by HIV and AIDS to reduce stigma and discrimination, strengthen coping strategies for children, and build the ability of families Prevention of Parents to Child Transmission AHANA: (October 2015 – till date): to communicate about HIV and AIDS. We are working in South 24 Pgs., Murshidabad & Uttar Dinajpur. We are the Sub-recipient partner of Plan International India for 8 districts (Kolkata, North 24 Parganas, South 24 Parganas, Bankura, Birbhum, Paschim Medinipur, Malda and Coochbehar) in West Bengal Sl. No. Parameter Coverage and 17 districts of Jharkhand to implement AHANA PPTCT Project. 1 Area of Operation 3 Districts CHAPTER 4 The main objective of the program includes ensuring that all pregnant women are tested for HIV and the 2 Total PLHIV reached 330 result known, positive women should be identified with ARV prophylaxis for prevention of vertical transmission of HIV and infants of HIV exposed mother should get first DBS test within 2 month of birth. 3 Parents who have disclosed their HIV status to their children 100% 4 Parents who have disclosed their HIV status to the community 68% Sl.No Parameter Achievement 5 Families who have linked up with government scheme 60% 6 Families registered with Pre Anti Retroviral Therapy 100% 1 Area of Operation 8 Districts (mentioned above) Program Indicators and Achievement Achievement Link Worker Scheme (LWS): 2 Total Pregnant women registered 181317 (2008-April '2016 in 11 Districts of West Bengal & 3 districts of Jharkhand) 3 Indicator I: Percentage of Pregnant Women Sl. No. Parameter Coverage who know their HIV status 146843 (81%) West Bengal 4 Indicator II: Percentage of HIV-positive pregnant Identified 72 Positive 1. No. of Target Districts 11 women who received antiretrovirals to Pregnant Women reduce the risk of mother-to-child transmission 71 (99%) 2. % of implementing districts 100% 5 Indicator III: 3. No. of VICs 1043 Percentage of infants born to HIV-positive Live birth - 20 4. RRC 1016 women receiving a virological test for HIV 20 (100%) 5. HRG mapping/SNA 23274 within 2 months of birth 6. % of HRG covered 95% Community Level Activity: Target Achievement 7. % of BP covered 63% 6 Community Mobilization Meeting (Oct – Mar) 115 48 8. % of testing ICTC 67% 10 Advocacy Meeting (Oct – Mar) 52 9. % of STI referred 48% 48 10. % of HRG Referred 86% 11 Coordination meeting PLHIV network (Oct – Mar) 12 11. % of Vulnerable covered 44% 48 12. PLHIV Coverage 2047 13. PLHV Mapping 1845

14 15 Fighting HIV AIDS Maternal and Child Health

Taking a positive turn Strategic Priorities Manju Bibi (changed name) lives with her two children. After death of her s the global community sets new goals with the Sustainable Development Goals (SDGs), CINI looks back husband, her economic condition and her health condition started Aon its path to see how we could contribute to the achievement of Millennium Development Goals deteriorating . She was frequently suffering from fever, stomach problem etc. (MDGs) linked to improved maternal health and reduced child mortality by facilitating creation of a Child Post a blood test; she came to know that she was HIV infected. She started to Friendly Community characterized by rights based, participatory governance processes. Inclusive come at the Memory Work Session . At first she was very much absent minded & development where 'no one is left behind' has been prioritized by CINI. Despite some progress, gender did not want to talk. After continuous counseling, one day she broke down & vulnerabilities continue to persist as well. told about her family condition and her anxiety regarding her children to our Various national policy documents and frameworks aim at enabling disadvantaged communities gain counselor. With the help of CINI's Outreach Worker she opened her bank account greater access to health services. More recently, the National Urban Health Mission (NUHM) explicitly stated & got the benefit of Indira Awash Yojna. . Through our IICCHAA session, she its emphasis on 'Urban Poor Population living in listed and unlisted slums. The situation is complicated gradually disclosed her status to her community. Now Manjula's is working as CHAPTER 4 further by a growing number of unlisted/non notified slums that remain out of official records and service our positive speaker in motivating others to take part in the session. delivery systems.

Major Highlights

l This year CINI-HIV Division celebrated World AIDS Day on 1st & 2nd December 2015 in association with West Bengal State AIDS Prevention and Control Society with an outstanding success.

l For the People Living With HIV/AIDS, some adolescentce girls & mothers of IICCHAA program who CHAPTER 5 studied at least class V-XII received a Leadership Training Programe.

District Resource Team (DRT): As part of AHANA interventions a resource pool called the DRT would be created in the district level. DRT will be trained on the issues of PPTCT technical aspects, community mobilization process, BCC and basics of HIV/AIDS. It is proposed that DRT will be conduct such sensitization training to their below cascade level to decentralize the concepts and knowledge regarding PPTCT program and WBFPT process.

l District Advisory Committee (DAC): Like SARC under AHANA PPTCT Project one DAC will be built to strengthen functional coordination among project team and health staff (NHM & SACS). The CINI's health initiatives have always been characterised by their responsiveness to local contexts and strong committee is expected to meet quarterly once. community level engagement in both urban and rural. These aspects have enhanced organisational understanding of the underlying determinants that influence health related behaviours and outcomes. l State Advisory Review Committee (SARC): Under AHANA PPTCT Project one SARC will be built Accordingly, interventions now aim at a more comprehensive Life Cycle Approach (LCA) based framework. to provide guidance to State AHANA team on implementation of project activities as per This framework provides opportunities for addressing multiple health and nutrition outcomes by targeting 3 performance framework. Side by side SARC will make a review the performance of AHANA critical stages of the life cycle – pregnancy, early childhood and adolescence. The emphasis on community project and operational challenges in implementation. The committee is expected to meet based interventions continues where CINI acts as a facilitator bringing the key stakeholders together for quarterly once. collective action. 1. Improving Reproductive and Child Health through Multi-stakeholder Partnerships (Rural and Urban) through Taking the right step at the right time a. Trained women's groups promoting health with peers and caregivers in the community to Rakeya Bibi is an Anganwadi Worker (AWW) by profession. Her husband is a change behaviours of mother and caregivers migrant worker in Gujarat. During her pregnancy she was tested & reported as b. Service providers engaging in improving knowledge and awareness of pregnant women and reactive. She delivered a girl child at the District Hospital. Her respective AHANA young mothers' on maternal, child health and social welfare schemes to bring about better ORW counseled them (Rakeya & her husband) about HIV & motivated them to decision making, health seeking behaviour and optimal utilization of existing health services go to the ART center. Anti Retroviral Therapy (ART) has been started with the support of ORW along with initiation of Nevirapine for her child. Though Rakeya c. Advocacy with government and local bodies at all levels and service providers to ensure increase is an AWW but she also had some myth & misconception about HIV/AIDS. Our outreach and coverage of services and social welfare schemes ORW helped her to to let go of the misconceptions and motivated her to 2. Strengthening Response to Childhood Acute Malnutrition – The Facility based Nutrition generate awareness among other community mothers about HIV/AIDS. Now Rehabilitation Centre Model Rakeya is living a healthy life & enjoing her work more.

16 17 CHAPTER 5 C Impac ommunit c % Childr (c immuniza age appr % ofchildr Childr deliv a % ofw r % eligiblew % institutionaldeliv r % ofpr 1 r % ofpr W ec ec egist er t least4PNCaf st omplet omen

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“I have learnt to take care of my own health”- Rina Bibi Struggles of little Supriya When I was only 15 years old, my father got me married to a 26 year old man. My husband is a painter by Little Supriya, (name changed) 3 years of age stayed with her grandmother in a Kolkata slum. Poverty had profession. Within a month I got pregnant and within one year of marriage I delivered a girl child at home forced Supriya's parents to leave her and move out in search of livelihood. Being a first generation learner, assisted by a Dai (untrained birth attendant). My husband and his family wanted a boy child and very soon I stimulation was needed for her to cope with the formal school education that her grandmother insisted. got pregnant again. Since I am the only daughter in law of the house, I had to do the entire cooking for the five Nagma Khatoon (name changed) one of the Sishu-sathi, an adolescent girl of the adjoining slum used to family members. I also had the burden of all household chores and the responsibility of taking care of the give stimulation to little Supriya at her home. The grandmother used to help the Sishu-Sathi to stimulate older child. In addition to all this, I had the extra workload of walking 20 minutes every day to collect drinking the child, as that would better the learnings of Supriya in school. Everything was fine until Nagma started water for the family. With all this burden of work I never used to get time to rest for even a little while in the noticing that Supriya remained morose and inactive in most of the time unlike her early enthusiastic self. day. I felt very weak most of the times and I started having dizziness and sometimes even black outs when I Suddenly one day the child started blood vomiting and there was also sudden rise of temperature. The would become unconscious. grandmother took the child to a doctor. He recommended immediate blood transfusion. The When I was in the fourth month of pregnancy, didi from CINI ,who works for mother and children in our village grandmother was helpless and knew not what to do. In such a situation Nagma collected money from heard from someone about my pregnancy and came home to visit. I told her about my health condition and the community and took special initiative to admit the case to the hospital. There, it was detected that she said that I should visit the Anganwadi Center the very next day. She even came home and took me along the child had chest infection. CINI extended all possible support to the child.

CHAPTER 5 with her to the center. My weight was measured and didi said I was only 40 kg which was very less. Over the CHAPTER 5 next few weeks didi visited me frequently at home and explained many things to me. She said my weakness At present Supriya is well and she participates in all activities. was because of marriage at early age and repeated pregnancies. Didi also met each my family members and explained about the kind of diet I should be having and the rest I should be taking in the afternoon. She also convinced my family members to take me to the hospital for the delivery. As suggested by her I went for checkups to the sub-center, took all the they gave as well the injections. My weight has now increased to 49 kg and I feel a lot healthier than before. The dizziness and blackouts have stopped and I have more energy for work. I dream of delivering a healthy baby in the hospital. I am thankful that I met didi at the right time because I have learnt a lot about immunization and care during pregnancy from her. My family members are concerned about my health and take good care of me but I am most happy that I have learnt to take care of myself now. Major Highlights

l CINI participated in the national consultation on the “Role of Civil Society Organizations in Advocating for Child Health & Immunization as a Right”, organized by Indian Institute of Public Health-Gandhinagar & Global Health Strategies and highlighted the need to look at immunization in convergence with other health and nutrition services for child. l CINI participated in learning and sharing event for partners receiving grant from DFID organized by World Vision funded by DFID in London, UK. The best practices of the beneficiary feedback “Becoming a Change Agent has given me a new identity” mechanism was shared and appreciated by the partners. - Piu Biswas l Routine Immunisation and District Task Force Meeting held regularly to improve reach and coverage of services in urban slums of Kolkata. I am a CINI Change Agent working in ward 59 of Borough VII in Kolkata. I know almost every family in my l CINI oriented about 4060 stakeholders regarding PCPNDT Act in urban Kolkata. para (Ward lane) and more importantly everyone in my para also knows me. They all address me didi, with respect and come to me when they need some information or when they have any problem. Not only the l Women groups and Adolescents groups formed in urban wards as well as rural villages to promote community, but even the government service providers know me by name. The senior officials know me discussion and sharing on adolescent health issues. as well and I can meet them in person if there is any problem. My family is very proud of the confidence l Play Material Development through Mothers Workshop: From the experience gathered through with which I move around and work in my area. This is not just a job for me, it has been a life changing working in the community it was realized that the parents needed play materials at home to experience and it has given me a new identity and recognition in my community. In 2013, at the stimulate their child in the absence of Sishusathi. The Sishusathi visit the children once a week for beginning of this project CINI was looking for literate women to work in the area and since I was educated, providing stimulation, it is the parents who stay with the child throughout and provide regular Soma di who is the supervisor, approached me. I had always been at home and had no experience of the stimulation. This need lead to conduction of workshops with mothers to make low cost play outside world and my life revolved around my family. I was not confident that I could do any work outside materials. The animators demonstrated the preparation of low cost play materials in the workshop. All the mothers present prepared play materials for their own child in the workshop. They used low home but Soma di persisted and finally managed to convince me to give it a try. I joined with a lot of cost, old or thrown away materials from their house to prepare these materials. In this quarter the apprehensions and fears but the staff in CINI supported and helped me all the way through. I got to attend mothers had prepared beanbag (a small cloth pouch filled with grains used for throwing and so many trainings and learnt a lot about care during pregnancy, post natal care, how to take care of a new catching games). The mothers were very happy to carry back home play materials for their children. born baby, nutrition of mother and child and importance of immunization. As I started working and talking to mothers I also realized the mistakes that I had unknowingly committed in the care of my child l CINI developed a Health Resource Pack for the frontline field level workers. and ensured other mothers did not repeat the mistakes I made. Health and nutrition of mother and child l Information communication tools developed on government schemes-services on Janani Suraksha is still not given that much importance and I am glad that I am able to work and contribute to improve this Yojana (JSY), Rashtriya Swasthya Bima Yojana (RSBY) and others for adolescents, self help group situation in my own community. The project I am working on will end soon but what I have learnt in these women and change agents in the community. four years will always remain with me and I will continue sharing it with the others in my community. With l CINI supported government's “” by identifying pockets where immunization the experiences I have gathered working as a Change Agent, I am also now confident enough to look for drive required and mobilizing local communities to ensure immunization of children who were other jobs. missed.

20 21 CHAPTER 6 l l c Stimula CINI's rural and inimplementingtheR T pr T 'Utpr financial addr T S educa Nor CINI's educa Str E onc he he he outh 24P ogramme duc CINI CINI other star o t c acr them Sar and and th DinajpurandMalda.O educa o l l l l Jhark ommunit essing entra thema v eran pockets a 23, erall tion int educa oss va t t has tion has Mainstr learning P schools Bridge Ret S also ed suppor egic P ocial r 000 go Shiksha t Kendra hand t o tion W o ar ed the in tic a ention viding dev also . v the tion pr est f tion get c ganas F ollo ernment of childr er the ontinued on r y ting UrbanandRur W pr int om childr eloped . W v c t Bengal E t dev . eaming elfar childr eachers enr ourse entions f ogramme w ' ac duca fr int our est er M in the ed , JalpaiguriandNor om tr ogramme in en - tivities ission v riorities olled eloped R er P en aining Bengal ention e br anchi r b . acr en v tion ser la JEPC, o a CINI and y ention oad implementing f viding in . Another9000childr t or c thr - e oss Early vic onc in in in Helping the 80s ha of ight ofChildr both P & an aspec has ac ough 2012. and e and CINI schools on r W difficult Gumla. v ojec eptual v CINI pr c , er 10000depriv ar ac est pr e Childhood the the eler been o W E Jhark eas f other urban oc has c viders ocused duca ts: t this est Bengalc elera Bengal c depriv enr major ess omplements C a of framew ouncil a implement t the cir ed t hand ac olled tion th Dinajpur CINI the t of c , age and ed cumstanc par apacity c en t learning ed elera and first acr thrust cr C scheme t . 22 and ents star ar ea eaching childr ( appr urban rural ork oss o F JEPC e Jhark en indifficultcir P ting o t ed childr r ed t and r v with ojec of ed of ed and ee andC a ers Kolk opria go building ) childr en es . t c and in educa pack school a eaching hand has in v ontinuum during E t pack v childr ernment school the dir in duca Management olving the t rural e en. en inKolk also ec ages R . nec a classes tion ompulsor age anchi, ta, S slums t as tion en. inputs During suppor al Depriv c childr la methodology l l Major essar c engaged entric a int - f ommunities t eff cumstanc outh 24P or e with Dev Child- and E g Dipank mechanism track E 55% ra childr Kolk c . C T During er of or Gumla, ollabora 70s duca duca rack T the o I a y en t t N his v e v ta ar t ts eloping o last motiva y E Kolk f entions ther I e childr Unit fr ollo incr a enr

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ting entr p and t 2009,bothinurbanand e self had , Sar it sta w urban the been a e x and sho . . r t was o t helped ya Dhanbad t T e has elementar ernal t and so va fr r go r . first m e & his a intr ela k schools adopt c ts om La 90% school w P ommonly i Child ough our e f tha Shiksha k eff v Child eff y n disc or rak depriv trained ed t n no t ernment pr oduc g initia er ed time E t ec Early agencies ec t

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par . f e ed R tiv ound ed ta. all va ight suc ed with girls) a thr f of ocusing t 64.5% . been and .T supplementar had pr T int educa primar Shiksha es ting UrbanandRur in c needs ough needs his and en sec he elementar r t ojec essfully ef t er capacit o those o ha ar subsequent err o been E ondar v has or be Jhark duca v is ention e tion ts v erall y ganiz ed this 23 , e fr on girls . par M among out lev childr om been been passed y in ission, or y tion. c hand sex int suppor ticularly building el entr , and y ganiz ed RTE. of acr Jhark is er y educa lev en t & the school T in r o oss es v r higher eached 8317 his Kolk c emedial sexualit el out ention Among ensur who Kolk ontinua ed e C hand during t first our has ex deaf of tion of school entr a f , or a t ta. childr ha e 72.5% ended int childr sec educa ta . taken of of thr univ childr 227 y v during es par them Urban tion er their educa e ondar its and Special ough r v final en eading en ersal ention childr tion plac t (8317) k of en o summer ind 8640 ticipa menstrual ha gr tion 74% P y this examina studies ha the r e and oup ac v ogramme of T en f e in al Depriv v raining or ar and c childr t childr e girls y suppor ess been Kolk ed inacar r which eas also ear c members also esidential them oming vaca writing t in . tion o in a and health en gradua en r ta elementar go suppor suppor ec W t tion. f t 55.2% or among ar of est o ha eiv v bey t ha ernment e o 668 eer c get pr which v on ed Bengal school fr v e T & the tion ond oblems e om he t t been ed six the h ed Childr slo ideas acr been is ounseling training deaf y Special y main lev giene W 57% issues school w girls thr oss educa same and est pr schools el c learners childr ough and o about pr ogramme . 5 ar objec v Bengal omot acr er in Jhark distric training of e tion Guidanc w hours ed girls Kolk oss en. RKSK . er special tiv car I in so f t ed hand e or ts . also and e a not our the eer far en ta. all . as t of in in in o e CHAPTER 6 cr t F can peers Her t name in o super P c grandmother Januar family during uncle yrs thought P diagnosed family and happ W Her While T Smiling L F l l l l l o o ar ourse ar r r v he et ea l l l esently esently ith help er her help zana zana and schools Dinajpur persons – multi-lev pedagogy b issues f child building no family T C P 126 childr 1302 S She She t TLM ex initially basic along eedback lif c didn little her eacher's trainingofI e e eriodic chool y apacit Kolk ome the visor andISLint and can and e e , c an w her and as t y her car those c ended n ommunit the , her t r has deser ommunica K 2014. lip tha ook

pr ec F she ' , enabling . hat t lif pr a no help speak! girl F ar with she efr addr childr the o t with members family c ta epara smile ar eiv t w t f r y e . family rg socializ ontinued ot was zana t eachers been o or ead suppor w el had ee oon building f sk o zana, a training 10 ther t , ollo , v a en inMurshidabadr had ec trauma ed o all be so On r is c all t new the ess es siblings n classr of ills esponse her eaching ommunica 11-y addr en months v tion, . not i tion the a nec y ze not (name c members childr er e deaf holds w She ev put the , tt CINI . . ounselling thought a and help liv including Her e was She t ed d c y ending t turn, e er in ear- r ha ousin essar ar c trauma ess oom

on learnt in w es t eady t with entr erpr first t and on o . didn y CHILDLINE, o a f e b o ell f c v c en. or I Jhark w a c t of no with can earless happiness changed) up t Gender y liv ousin, sa methods ommunit e . old the each a ro E I As er . bett mechanism was a nt ndian an y e also et polic general has da management tisfied e c her t t so ' t point s , duc t the e suppor a tha began o e ommunit egra s the some a no school er pr tic a the deaf her y k

h int hand , with sent dra take lif she er her r no dev and her y and her a r esult school w t e en sign e giene ec past l erac E Sign she deaf age l wa grandmother t wing she w sending o

with with quit identify ed Appr childr . in 11 c vir eiv eloped of y a vide herwithallnec her her t family grandmother home school f was suppor ec t ould and o health girl ho i y , language the r . e v f tiv ting UrbanandRur onment was the y . ec was or the of ed Language eiv school olunt Her l y y ears . and Suppor friendly d t w ex and her MMIC- . and eachers e issue eiv taught en. her and

she 11 But classr t c ed trainingon help major t tr , eachers family w l schooling k ontinuous r o t o int oach t mother her shapes multi- wher escued good gradual ed - eme ook idnapped t can orkshop y eers T c study & F hold her signs will just 24 ears , hese at . emale er discipline f F her oom. t . t or h E i ar capacit , est her shar o CINI changes o ho t , depr and in duca e fa y had be one o (ISL) beha o n zana grade: her school , field giene a . when she ther . back sessions w lessons t s Amina her and ha T in Unf abandoned o impr along

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CINI in Press 25 CHAPTER 7 Ensuring ChildP C Impac Str omm R Diamond Harbour Uttar Dinajpur Murshidabad R Urban ailwa ailwa l l l a unit t r Ensuring Building child Str y CHILDLINEa y CHILDLINEa esponsible egic P engthening y basedCPmechanism- t inSta pr Childr ot child ec child S Sick Ba tion riorities CHILDLINE Int citiz Shelt Institutional basedc N er Shelt en inc R saf ight shelt Diamond Harbour vic K ambagan (Kolk Child P t NJP t S par the halpara (Siliguri) ens c tistics Uttar Dinajpur Open shelt e Nor Murshidabad er homesf ommitt ealdah es inr er homef Jhark spac ticipa y f A c ontac S and Siliguri ommunit zimganj Urban th Bengal ealdah or thechildr r es ot ed lightar ers f hand pr tion ees t withR f er ec V or o illage L v vide or girls ers or bo or girls tion . ention: childr a y t a ta) ar ev based ar their ailwa ys en ea er e ev en 26 y el ChildP ticipa a views lev child ys t the el so polic about pr r ot ot tha ec e ec 8 mothersar t sta the tion C tion andChildR tion the Diamond Harbour&AlipurSub 90 childr tion, existing 10 BL childr mechanism ommitt railwa VL WL en of CPC,2 CPC-4059 GramSansad en BL syst CPC-83 GramSansad e doingtailoringtrainingther CPC in11blocksof ees y ar sta W ems e 18 WL 23 Number 1695 ar like able 149 549 432 469 488 771 tion, WL 1084 1390 1269 1903 465 688 430 274 536 d 6and7oftha CPC and54 VL . — the CPCs CPC t et o c expr village . ess VL - and . division. themselv CPC , t ar war ea. igh d e es lev as el ts

CHAPTER 7 S as r Reached thr ( Urban F Nor Murshidabad go Uttar Dinajpur Diamond Harbour Childr T trained inChildP T the r shelt CHILDLINE No ofcasesw Repa Repatriation C Nor Diamond Harbour Murshidabad Kolk Child F CNCP) linkedwithSponsorshippr otal NumberofChildr otal Numberofbeneficiaries amilies linkedwithdiff cheme (ICPS) v ef th Bengal th Bengal ernment S a epa er homeswher tria err ta en inNeedofC riendly P ed inI tria t ed Dir tion pr ough ChildP e ha ases: cheme nt olic ec egra r tly thr v ot e Stations: oc e r e CINIfacilita ec ess t Ensuring ChildP . ar ef ed ChildP en r tion e andP err ough er r eunified /r ot ent ed t ec o other tion ser r ot r ot t ec ed ogramme ec est tion tion vic or 27 ed inf es amilies ec linked withSponsership I onomically poorfamilies ar ncapacita C Returnee M Diamond Harbour a ticipa Single par t P pr egor ar ogramme Orphan O ent inJail 2025 1012 thers t y ofCNCP 21 childr Berhampor ed P Suti, Samser igrant ent tion andChildR Siliguri andKolk ar ents/ 77 childr en inMurshidabad T olly Siliguri , K 45000 e 2094 301 176 130 , Lalbag 12 ulpi, Magraha 8 ganj ganj en , R , Domk a Childr T ta otal Noof anitala, Jalangi 2 20 35 1 11 8 en Linked t &U al , , K andi, sthi igh ts CHAPTER 7 6. 5. 4. 3. 2. 1. Major Highligh CINI 5 V T T CINI c r Diamond W pr J of Siliguri. K Co Darjeeling P a Nagarak M C I the villages as and n oll- h ollabora he he 4 illage h horibari h n elfar a oc a the

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f only living and visit y got ar or 28 ess full tion. CINI he a of sev him t sit the ember I ticula str r k training n c ees w will eason a Child back onduc aha included ed of es want c suppor Delhi Uttar , pr k t enth CINI eet fill entr questions with in but onc e C child Block acr ha enough He the omment t esently , liy the , , e ana m t v ed tion R e ther he oss c e 2015 o wh standar Dinajpur e with ting his af his ights primar e an did y which of mor t his inspec been Dr , t ed t ar CINI o hopes was y W er in V war hai, in family thoughts do op go illage he situa family , liv est t e not b e 3 the t in Murshidabad o (SCPCR) a o ticipa . y tha -in- on d is is set mor y t A d send selec chose the hi t o es inCINI'sDr Bengal f C isliy c lev , ora school ew f also pr ollabora with tional onsor a a t school fac and Childr but C t). er up and mada distric he e oc el school w entr t e t e e him a da str run w ed child in ess t a . has he was his int main o aspir . ell abjec tium ys W y! analysis and eet e Murshidabad en . be tion andChildR t , t chose b erac t t of ar t tion o selec o he o and e of t y he lev assur k pr . wn eachers in d c on w par f CINI. Angan ar a orma f t onnec was S ot or tion el op I ork L tion...tha str r ealdah with W is po ev ealiz merit t the ec sakta ticipa t ed c ed Str f o eet est Bengal). v or onsulta . el admitt tion v n c ocal tion lea He with er CINI wadi eet tha str , t the ed Angan ed the was entr . situa t v t used T eet y e which c hai e t of his Sta and Childr ommitt childr tha him childr in he his in in t c ed Depar tion e facilita BL entr tion was ” Murshidabad wh , a y tion

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Sealdah and Dumdum. Through this operation, a total of 56 children have been identified and successfully restored back home during this process. Maternal and Child Nutrition 18. CINI's children are Resilience Champions in their own way. Despite adversities they have been much focused and have excelled in their academics. A total of 27 children had appeared for the Madhyamik Strategic Priorities (School Education Completion Examination) from our intervention programme in the red light area of The 1,000 days between a woman's pregnancy (270 days) and her child's 2nd birthday (730 days) are most Rambagan, out of which 25 passed out successfully. One amongst them secured 74% marks. 23 children critical and crucial period of the child's life. This period provide the base for a child's mental and physical from the same intervention area had appeared for the Higher Secondary examinations, out of which 21 development in later life. Up to 80 per cent of brain growth takes place during this critical period of the passed out successfully. Three amongst them secured 74% marks. All of them are now preparing to go to human life cycle. Malnutrition and disease during this time can play havoc and may lead to impairment of college. Priyanka one of the active members of Children's Parliament secured 75% marks. Priyanka wants physical and mental growth. Children who are malnourished in the womb have a higher risk of dying in to pursue her career with Sociology Honours, while two others who secured 80% marks want to take up infancy and are more likely to face lifelong cognitive and physical deficits and chronic health problems. For Accountancy. children under the age of two, under-nutrition can be life threatening. It can weaken a child's immune system 19. Panchayat-level Linkages camp: Panchayat-level Government Scheme Linkages camp was organised in and make her more susceptible to dying from common illnesses such as pneumonia, diarrhoea and malaria. the 8 Panchayats of Khunti District. The Linkages camp basically targeted the villagers of the project Proper health and nutrition from conception of the child (mother's nutrition) up to the child's two years of

CHAPTER 7 intervention areas, linking age have a profound impact on a child's stability to grow, learn and rise out of poverty. This period is the the families of the children biggest “Window of Opportunity” to shape healthier and prosperous futures and break the inter- in different circumstances generational cycle of malnutrition. It can also shape a society's long-term health, stability and prosperity. with various schemes Therefore, broadly covering the first 1,000 days approach's Ten Essential Outcomes are: a c c o m p l i s h i n g t h e 1. Early initiation of breastfeeding within one hour of birth objective of strengthening the families of the Children 2. Exclusive breastfeeding during the first six months of life i n N e e d o f C a r e & 3. Timely introduction of P r o t e c t i o n ( C N C P ) complementary foods at CHAPTER 8 category children. A total six months of 8 Panchayats with 55 4. Age-appropriate, energy villages were targeted to and nutrient- dense be covered through the complementary foods for linkage camp. The camp children 6-24 months of brought in linkages to 12 age with continued different schemes in breastfeeding convergence with 3 5. S a f e h a n d l i n g o f different departments at block level – Child Development Project Office, Block Development Office, complementary foods Labour Department and Health Department. a n d h y g i e n i c complementary feeding 20. CINI has been entrusted for anchoring a consultative process of working with Children in Difficult practices Circumstances in 8 states in the Eastern Region. blocks of Diamond Harbour & Alipur Sub-division. In 6. Full immunization and bi- Uttar Dinajpur, a district level consultation on the status and roll-out of Child Protection Committees at a n n u a l v i t a m i n A Block, Village and Ward Level was facilitated by CINI in collaboration with District Administration.. supplementation with de-worming 7. Frequent feeding and breastfeeding during and after illness, including and Relief at last! zinc supplementation for children with diarrhea Jama Kadamtala is one of the backward villages of Kashimnagar Gram 8. Timely and quality therapeutic feeding and care for children with severe acute malnutrition Panchayat under Suti-II block in Murshidabad. The literacy rate is very poor. Most 9. Improved food and nutrient intake for adolescent girls, particularly to prevent anemia of the families are involved in bidi rolling. The average family size is very high. 10. Improved food and nutrient intake for adult women, particularly during pregnancy and lactation, along with proper health care (ANC and PNC check-ups) B. Das (name changed) is one of the inhabitants of this village. He is a bidi labour CINI strategically focused on micro planning for First 1,000 Days to reduce maternal and child nutrition by by profession. His daughter is 15 year old Sampa Das. She studies in class VIII. ensuring accessibility and quality of essential government nutrition services during this period among those CINI started intervention in this village since 2008. In this village, we have some most vulnerable and excluded like those living in poorest tea garden areas of Jalpaiguri, Bidi workers of very strong & vibrant Child Friendly Groups. The CFG members work like a watch Murshidabad, urban slum dwellers in Kolkata, tribal pockets of Jharkhand etc. All programs focused on the dog in this village. Village Level Child Protection Committee is also in place 'Continuum of Care' throughout the life cycle including adolescents with women and child nutrition according to the latest revised guideline of ICPS. outcomes. One ill fated night, Sampa was raped by her own father, when her mother was Priority focus areas include not at home. The incident traumatized her so much that she stopped talking. l Ensuring community participation through sharing of information and knowledge to highlight the The CFG members soon identified that Sampa was not behaving naturally. On importance of identification and addressing malnutrition. repeated interventions, they uncovered the whole case. The CFG members l Improving adolescent participation, for school going/out-of-school girls, to improve their nutrition immediately informed the local VLCPC, and went to the Suti Police Station with through dietary practices and iron-folic acid supplementation. an adult VLCPC member. The girl lodged a complaint against B. Das. l Capacity building of Anganwadi workers and ICDS functionaries to improve service delivery at Anganwadi centers, both quantity and quality. l Identification and tracking of pregnant women, using modern telephonic technology, to help immediate action to reduce malnutrition amongst children below two years of age.

30 31 Maternal and Child Nutrition Maternal and Child Nutrition

l Building capacities of Self help group women in rural and women's groups in urban, particularly “I want all the children in my locality to be healthy & free from disease” those from minority groups to act as 'Change Agents' to contribute towards healthy childhood. A wish of a Change agent- Pinkey Das. l Strengthening local governing bodies (Panchyati Raj Institution (PRI)/ Urban local Bodies (ULBs)) for improving nutrition outcomes. Pinkey Das is a 19 years old lady living in a slum of Kolkata Municipal Corporation Ward 58. She has studied up to Class-VIII. Her husband was a daily labour in plastic factory. Their only son is five years old. Pinkey herself l Holistic development of the community by creating Child Friendly Communities by addressing not was a beneficiary since her pregnancy almost four years back. She was very much interested to know about only nutrition but also health, education and protection issues. maternal & child health & nutrition care. She regularly attended mother's meetings & as well as the l Development of resources, networking and advocacy for partnerships and convergent actions and community events. Pinkey learnt about the do's & don'ts of child care. Gradually she became involved with share CINI's technical expertise on nutrition. other project activities. She mobilized other mothers to routine immunization centre with their children, to l Research on infant and young feeding practices to identify the barriers and facilitators of behaviour attend mothers in the meetings, NCCS & she independently takes weight of children & can identify the change. condition of malnutrition among children. The mothers were curious to improve their children's condition. Pinkey introduced Nutrimix in her neighbouring locality. She cooked Nutrimix Halwa & encouraged spot consumption. The mothers preferred Impact in Statistics ready to eat fast food in the breakfast & evening snacks. To change this habit Pinkey started to spot-feed

CHAPTER 8 CHAPTER 8 Nutrimix in early morning & late evening. Children were weighed at regular interval. Indicator Level of achievement Following two cases showed a remarkable change through her intervention % underweight (Children < 24 Diamond Harbour II, South 24 Parganas: Reduction from 11.98% months) as per WHO standards to 9.44%, Ward 58, Kolkata: Reduction from 13.91% to 12% Name of DOB Weight & MUAC during initiation Last weight & MUAC for Weight-for-Age Dhupguri Block, Jalpaiguri: Reduced from 17.5% to 14.25% child of Nutrimix followup % of children breast feeding Diamond Harbour II, South 24 Parganas: increase from 80.64% to Kundan Roy 28.3.14 August ’15 8.3 KG (MUW) , 13.5( N) Jan ’16 9.5 kg( Nor), 13.8 ( N) initiated within 1 hour of birth 82.23%., Ward 58, Kolkata: increase from 46.88% to 94.11% Dhupguri Block, Jalpaiguri: increase from 44.89% to 81.01% Rani Das 17.1.14 August’15 8.9 kg(MUW), 12.7 ( N) Jan ’16 9.2 kg( Nor) , 13 ( N) % of children exclusively breast Diamond Harbour II, South 24 Parganas: increase from 75.71% to fed till 6 months 89.57%., Ward 58, Kolkata: increase from 84% to 91% Dhupguri Block, Jalpaiguri: increase from 37.7% to 48.9%

% of children timely (after 6 Diamond Harbour II, South 24 Parganas: increase from 85.71% to Major Highlights months of age) initiation of 95.75%., Ward 58, Kolkata: increase from 94.20% to 96%. Ÿ CINI's profile was featured in the publication titled, “THREE SQUARE MEALS, A just diet for India's complementary feeding Dhupguri Block, Jalpaiguri: decrease from 34.25% to 24.92% adolescent girls” by USAID, Kiawah Trust, Piramal Foundation and DASRA. They evaluated over 65 % of children who continued Diamond Harbour II, South 24 Parganas: increase from 85.71% to non-profits in the nutrition sector to evaluate their approaches, models and interventions and breastfeeding upto 1 years of age 90.66%, Ward 58, Kolkata: increase from 90.96% to 96.12% following a comprehensive diligence process, nine of these organizations were included. Dhupguri Block, Jalpaiguri: decrease from 30.7% to 37.11% Ÿ CINI, with technical and financial support from UNICEF, West Bengal, initiated a multi-sectoral No. of Severe Acute Malnourished Diamond Harbour II, South 24 Parganas: 287 children identified approach program in Malda to support District Administration to accelerate the District Plan of (SAM) children and MAM children Ward 58, Kolkata: 71 children identified Dhupguri Block, Action. (7 months to 2 years of age) Jalpaiguri: 163 children identified Ÿ A state consultation on “Nutritional Best Practices in district of North Bengal” was organized at screened and identified by frontline Uttarkanya, Siliguri, West Bengal, under the Poorest Areas Civil Society Program funded by DFID. Dr health workers using MUAC Shashi Panja, graced the occasion and was the Chief Guest for the consultation. No. of Nutrition Counselling and Diamond Harbour II, South 24 Parganas: 405 sessions held Ÿ CINI initiated First 1,000 Days intervention in Suti II Block of Murshidabad district where the local Child care sessions held at the reaching 5000 children approx.Ward 58, Kolkata: 157 sessions held anganwadi centres reaching1800 children approx.Dhupguri Block, Jalpaiguri: 69 families are predominantly involved in Bidi making. sessions held reaching 800 children approx.Suti II, Murshidabad Ÿ CINI continues to implement its First 1,000 Days intervention in Jalpaiguri tea gardens in West Bengal using Geographic Information System and Mobile technology. Ÿ CINI celebrated “Breast Feeding Week” and “Nutrition Week” to mobilize families and promote continued breast feeding & adequate nutrition, especially up to 2 years of child, in rural and urban communities and CINI's Day Care Nutrition Rehabilitation Center. In urban Kolkata slums, men from local clubs organized awareness drives with support from trained women change agents. Ÿ CINI mobilised five Gram Panchyats in Diamond Harbour II block to utilise their untied funds for supporting malnourished children. They have utilized their untied funds to purchase 780 kgs of low cost calorie-protein dense food (Nutrimix) for 107 severely underweight children, identified by the Anganwadi workers, in their own villages. Ÿ CINI organized a consultative meeting in Bhubaneshwar, Odisha, to share the finding of the research to understand the factors, barriers and facilitators, for improving infant and young child feeding practices to prevent early childhood malnutrition. This research was a joint initiative of Govt. of ODISHA, UNICEF AND CINI, which will be used to plan the way forward to address malnutrition in Odisha. Ÿ CINI's, research paper published in the International Journal Of Food and Nutritional Sciences on “Effect of personalized counselling as a tool for behaviour change communication for improving the nutritional status and IYCF practices of children (0-5years) in under 5 clinic and day care centre, South 24 Parganas, West Bengal”

32 33 Maternal and Child Nutrition Maternal and Child Nutrition

Ÿ CINI's process document on “Enhancing Capacities and Opportunities: Reflections on creating inclusive Child Friendly Communities with strengthened community based organisations in West Making Malnutrition Visible Bengal, India” was released by Dr Shashi Panja at the State level consultative meet organized under CINI utilised four community mobilisation cum monitoring tools. the Poorest Areas Civil Society (PACS) Program funded by DFID. Social resource map: A pictorial presentation of local landmarks as well as other essential Ÿ CINI expanded its “Child Friendly Communities approach, with focus on health and nutrition information (including households with pregnant women and undernourished children); throughout lifecycle, to selected GPs/wards of Howrah, Hooghly and Kolkata Khidirpore area. maintained by SHGs and displayed at AWCs Ÿ CINI developed a Nutrition Resource Pack for the frontline field level workers. Community Growth Charts: Plotting weight for age figures for children and placing these within Ÿ Information & communication tools were developed on government schemes-services on nutrition green, yellow and red zones of the growth chart signifying normal, moderately underweight and for adolescents, self help group women and change agents in the community. severely underweight status respectively; maintained by AWWs and displayed at AWCs Ÿ Capacities building of CINI nutrition team members or ganised on SPSS data analysis package. The Mother and Child Protection Card: Containing key information regarding pregnancy (including training was given by IIHMR. uptake of antenatal care services), delivery, postnatal and child care (birth weight, immunization, growth monitoring etc); maternal section filled by ANM and child section by

CHAPTER 8 CHAPTER 8 AWW, card kept by mothers Mother and Child Self Monitoring calendar: Providing detailed information on pregnancy and Father's involvement can change the nutritional status: child growth and development (till two years of age); maintained by families. Anandi Barrick is a three year old girl living in Haldibari TG, gudam line in Binnaguri GP of Dhupguri Block. For Anandi, her father Jetin Barik is more than a mother. Her mother suffered from TB and died when Anandi was one year old. Her mother used to stay in her maternal house, so the community facilitator could not intervene with her. Community facilitator identified her when she was 1 year and 11 months old with MUAC measurement of 11.3 cms. Since then the community facilitator came in contact with the family and started collecting more information on Anandi's health. Records indicated that her birth-weight was only 1.6 kg. A doctor recommended admitting the child in the special new born care unit but the family members refused and brought the child home on the same day. The community facilitators, ASHA worker and the local self-help group member started visiting the family and counselling them on child care. They also referred Anandi to NRC but her father could not stay there as it was a female ward and there were no other female members in her family. Her father decided to ensure better care at home. The ASHA workers and community facilitator maintained close contact, informing about the immunization schedules and other health services. Continuous follow up and counselling gradually motivated her father to take proper care of Anandi, resulting in improvement in the status of her health and nutritional grade. In August 2014, a joint initiative was taken by ICDS and the health dept. to run a short stay NRC at Dist. Hospital. On 21st August'14 Anandi was admitted at Dist hospital by CINI's CF and ICDS worker. After 1 week she returned home as her father refused to stay at NRC. He decided that he would take care of her at the community level. After that Community Facilitator had started the NCCS session at nearby AWC and the father participated in the sessions on a regular basis. Anandi is now quite happy and healthy. She is given at least 3-4 meals a day, including hot rice, khichuri, with dal, vegetables and egg or chicken. Her MUAC measurement has improved to normal (14cm). Her father is now more caring towards her. He feels that learning about correct methods of child feeding and child care Learning infant feeding practices while playing a game of snakes and ladders guided him in securing the life of Anandi. He took special care in following the advice of the community facilitators on timely feeding and maintaining hygienic practices. Now he is confident, “Now I know that even other family members can ensure healthy growth of a child with proper care, nutritional support and a happy family environment.”

34 35 CHAPTER 9 out P deliv Major those the pr She than out lev happ T in pollution initia field an t c mother's A ent thr vulnerable r narr disposal ec her P poor but When Clima Str Clima Mak oom ogether onsider he ost ancha t l l l l l egnant osyst t el airpollutantsduringpr oughout w first int er c c f in field o r change ers omes omes or er o egularly c tiv w y a ed w Block MedicalO Health P P CINI block impr 1,000 the them w t using c egra ook and ing e Hadisha blocks la ancha r t ed orker ommunities , the ya omen ems t egnant o e spac ha Change her , ws she ed . egic visit harmful see w is and t A a w meeting ing in o v t and the of unborn the orker . bab ed Highligh than ha da aggra a omen e r . as ving v r bed of T esear the e egular war ya was did and olv F tha ed of her in been visits and Bishnupupur-1 t its v ys ur standalone beside r surr her e t early y w Bibi esponse traditional e Change S ed . en r ther members her is e t indoor critical eff been girl others e not oom omen outh of P va eff it ICDS ch not built t r aff ounding o beha ar egar 223 bab ec Sub or dev doesn smoke vir riorities ting got CINI home of ec , r of has e childhood ec giv educ ganiz t ffic manmade her also orient int 24 on only ts 2.7kg the y's w eloped . onmen ting grassr as ding air C W y vior . c e Childr the been of er ofHealth(BMOH)andBlocklev and ent omen er onfirmed ears P A her est ' r w . health. but up e t ar qualit orient Chulhas and capacities ddr oom. chulhas ed est use emit ts t ell pr indoor ar . ed was ers impac ganas w the egnanc T and oots Block ANM, hope Bengal of egnant ed ea he a essing initia o b en as discussed on of on under and dev y cr y r T impor smoke a ed first bab hazar v t mothers ooms smoke in her She and he oss pr and this er eff lif , . ser t saf , air of . during WB t . elopment on ASHA, ojec has ed Her and e our y y anditsadv All . use ec y of notic bab clima cutting w her this vic liv pollution ensuring w c smok issues and I ds impor . tanc er b t . y ts omen, the T in popula omen c es Another t family chulhas cle y e he pr c omplet about of has y pr r of like ontinuously staff CINI – pr their . ed esear pr the in ojec t Angan e family 36 r e y egnanc dr ar – . egnanc esear indoor o of tanc an agenda af . and change sev e adolesc viders y biomass . mothers mother ar T in tions t c health, t car being T the he house and ch w . int er omprises e ed and hen thing par erse healtheff er e She wadi ood members ch exhaust among e pr giving int erior of e y w f y air during understand , our , tnership aims will ojec indoor . orries harm in ANMs the she er impac enc orient . is wasn both st visit tha nutrition She and pollution w c v dev village ANC ock no ook be ention t orker e her was t health of ed the t and , o ed w pr eff el go and makes ' ar their elopment used pr on aff air t ed t understand sensitiz ing and . 8 checkups egnanc with e L c ev ec egnanc A on her most w ec distribut members o entral its pollution. with in of in t ec clear w orried en f ts whether v and fuel childr ocuses t times lea t educa during good ernment hospitalsar use Dak ed f ts intheF o tha house T Smoke of her ood he pr ed vulnerable suppor c v , ed indoor car b y . ook es t t y hin esent def planning , y happ o and Ener en , . ar health. ed not and and , t her She pr the e clima or the on the made pr including ea. 's or t the Gouripur during in chulhas oduc o smokeless , first health egnanc gy esta t f c y field pr irst 1,000Da smoke sinc childhood air orient a or eff a in onfusion w of A tha bir war t o and f v e ork her t ec t qualit Angan tion, the the viding er tion t er and w er th change o t F e w t y o the and ely irst , ed the f Resour of of 9 out y orker her or y ac ears and and months exposur wa y chulhas CINI's list c on c 1,000 wadi about c nutrition r smokeless tions; especially ook ound BishnupurI&II ook and esulting about omes , t en ys but er of ASHA the its impr c ing es , int ing W a all it F Da a eff the and child some irst ar e I vailabilit orkers and t impor should nstitut . the oper o the time ys t ec She erms ofbir e o out of 66 health pr bett 1,000 during thus along household ts chulhas . 7da advic indoor ojec pr tha ar c was is tanc garbage on t omes e o egnant e er far not ys y needs t - make t mor bir risks TERI, Da than es . with v ar e first and T less she er be he air ea th th t ys of of in o e y ,

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y ac vide wher y o y v t bear for , t of tion e no c o ting o y t omes adult o ) , CFC, take t e and c o ers an b all w y CHAPTER 10 c L r child pr leading r c K f C V village lev child friendlymechanismsa c T Jhark a par o c w empo war violenc pr stra CINI inurbanslumsis K (ICPS) andNRHM Child P str int with thego c Beldanga-II blockisbeing Bhabta &MahulaGPof Backw ormed in40villagesof espec onstitut ommunit ommunit o t thelocallev he initia oc wnership illage L ommitt hun olk ommunit omen ot v engthening I er ticipa er a t d lev ec egically addr v a tion &itsP ti Distric ed t w ention, itf hand- tribalvillages ta- urbanslums tion ofchildr tiv r e b ar ot 's gr ering thechildr ot ev el c ole ofaddr ees ( ed t tion andgo e c tiv o bringc d ec ec el thr y str y tak y- ensuring , str el ChildP y based villages v oup fr e ofthepr ommunit ommitt tion issuesoftheir tion S ernment o establish VL t engthening , wher engthening el es upthe ough the nt CPCs) ocuses on . riority MajorHighlights essing egra om slum cheme on en fr ees essing the r e v ot v y ernanc er ojec t , ec ed en and genc om tion t is t e e • • • • • • • • • A S T tr CNCP and Child P c w T C Go c CINI becameapar on theiro V C held a in C bef Childr trainer of C P CINI hasbeensuc pr Gram P and ar addr T T rights c adolesc en childr en ollabor onstitut he Aangan hey ar w r ulnerabilit ommunit ommitt orpora ar viy ack 38 er vit ot oposed budget2016-2017. v achh or e Guidelines e orien ernmen VL ec ed t essing cases an ing/pr e en fr t Delhion12 e tak CPC isfunc tion C r WBSCPCR's ChairpersonandtheChild ancha e avibrantgr omponents hasbeenobser ents gr ofiling andChild tion. At a o par V ee ed b tion withthedepar W wn withouttak en gr idy VL om t y peopleinthewar ofiling r ing institutionalshapet , wher ed onpr est Bengal y mappingandpr t ofIndia w ommitt CPC t ya y theM ticipa ala adi w W oups ha oups f ts ha eam memberofCINIhasbeenselec ar y C . e theyha tioning a c VL o r d 65pr t of essful inf eg th . t ork oc e a ee in T ampaign and A CPCs ar v oup a egulariz inistr ormed a hey ar ist e alloca ugust 2016 o finaliz . Na ess off ers ofK v t theNa v e beenorient er ed inthe40villagesofK T ing muchsuppor tional L W esent . r y of t thec t villagelev ack v ar e no e thegoodsuppor e beenhighlyappr orma tmen e andupda orma d 65underKolk t t GSlev ev hun e the ing sy ed moneyf d ha W tional ed theirchar w ac ent oman andChildDev ommunit e tion of ti SadarBlock(ar t ofSocial tion of v v V oo ed sixchildmarriagecases Na e takenuptheinitia el w st c idy Y el ed onchildpr essing An em w . el outh Da tional ModelF . Childr . ala t orking gr W VL e thechild or childr VL y lev C t fr ar y CPCs ha er t CPCs in a ChalenChala W d L er ofdemands on a e cr om theCINIt W en cum y c ta Municipal elfar t fr el ecia w ev elfar . ea hun esha clinict elebra v om theadults en intheir el Child oup ound 190) e t t ot v er ed and ed f , K t e e star elopmen ti. ed asmast ec ost hun

genc tion t tion and or tiv er t e of ti. eam. ed y oo o be en t , . er e

39 CHAPTER 10 which nex F daught VL clothes Bihar Hamida along member who Hamida Murshidabad Hamida in c deliv ar emer v T bab transpor T impor in generally these I sa P St Child pr n ommunit inally ehicle he hey ancha e such CPC the v these t no ories ofChange y P e er . sta genc morning ancha ar assuring T with tanc villages w , c r his y t with er back emot needy onfirmed far e and 's ys ook was (name v . ta opting in of T villages fa not er issue y e y y e tion hey ot a the ya a man ther shelt t situa t the of mothers c o going e an y childintheirvillages ontinuous t . Bihar ec c t situ the She institutional villages . Hamida bec good with e neighbours onduciv c inf changed) P was f ost immedia opinion y x inf radhan er or tion c tions tha . ormed r t a of ome used . espec T t et ormed ends institutional tion t shar o Childr he another o t pack c the said school this . take . of T e 's fa pr inac t ed f he and as ommitt o tiv during ollo tha the t a villages age Mallick was egnant tha e en help be tha pr with 13 and w e deliv c ther wasafraidaf c ac t onc w w and families ell egnant essible person. t local gr t their t t y a or e tion “ o up ear Salema Childr oup case W as the are emer ern er deliv her tur pur doing t e arereliev calls of o mothers y the V old ees ar poor , ed b P m illage of sa opt of family villagers mothers during ancha y Mallick G.P f er gencies en F uch or b w other girl r traffick b v putting is y w om y ehicle , y f tak gr . financial or tha poor ell her fr As Hamida thankful L liv . oup ya om e mak 40 ev home Hamida ing the 1 in in pur the t a P ed . t st t ed tha t el ing ancha Hamida er hearingthesimilarst As r o her members far r these ep members Bihar esult the oad pr with v the Child monsoon G.P during er a . e 's essur deliv mother situa studies r pr ha y fa esult t . ing genuineeff hospital c ya w t P o this her T who ondition nex egnant thers ving villages ould he CINI P t was er anchay e tion r members ot fa during y t has 'Ma on came members , . , has ec ther minut lea One crisis been as for season. sho be going does or trijan tion Hamida mothers impr they , ving assur ha f is , wing a nursing in ac da t other the o L r the printmedia,whenshew Her journeyandstrugglesw carried par minded c par associa Empo pr t members happened A Meets A t Pr solv a e ving epr h o e not C ilita l Hamida y o , ' decided situa spit lmir out essur ar m her persist v m e , ommitt ser v Salema Roads ents ents ed P Hamida adhan hav el Dissemina of

the esent herP e ed i ed ancha 's m r siblings permit c a ting e lef t a vic w ories ofdismalfr int with a o u o the home fa ,

tion the dec on e a , , er f of the n the good t m ear , Pa e or tion o Rec ther ent she 's dev with 's i ed she t in who the t with r ee 's o a m t ya ent SHG emains understanding r ra y house o someone t t with was hospitals b of pr v get Journe

o number these u otion t pr them about t f giv er ( r i and ognition or t e p same meeting a domestic egnant efused VL n no polic o o r lif e suppor oblem. her be r ancha y

r esist of i esist as handed e e married deliv e CPC t CINI, unpr call , other

s tion MeetingofP y st t the institutional with s o educa una villages

f t one w e and ep ” u C r o ed her enquir ed , a ) o ell r er Salema ya in Hamida became who ot y bear r e t and n mothers members m on . mother om vailable equir o Most . option. y all d suc t –a case ec

those w as t

rights of o A suppor of off bo tion. ed us

W v U ork t c suppor VL n nd is er ed v c e the the the the omf ar i t w- the ed t the t essfully a e t er of of about ent t CPC members h not er a t e t and i f was en o do

g unr or r e captur in an thr fac

or Struggle . Salema h t h vir adolesc genc T D wn a “ Hamida her e o b ts t early eachable ough Sta he fr sent t bring village i r fr onment ors the o n om

of against A om r a bef s VL family t h CS j i f e p e in back n lady ood o age CPC and Bibi u her her ent her g or ” his o . r in in e l d – e e , . , . . .

CHAPTER 11 K P training a meetings also in field v CINI c r func T learning pr leadership in manuals W and P N sev T Nursing a na Bengal D o Go dev Depar W M pioneering specializ C Demonstr C epr ommunit ernacular war he he n ool apacit r e f u inistr ASH o implementa ot e e tional d c vt

v apacit eral t vides T Orienta Refr Job C Angan (I W R Regional L elopment onduc

l esenta e r . . T P tionaries is otal T y ec . eness ncludes diff ashtriya K f has T W i raining a orkshop onC l raining of a a t tment o he w . c tion, y i omen T y esher r n key p a

o as W C ell T as ed , out e d ourse building m and facilita c pool handholding a r n he olleges of and Major ting est e , y , w tiv h languages aining P , tion equipped w

e goal w thr m rich ar training

members in c T adi n a G ell of Lif omes ell es E Health Unit T i raining eas a Bengal Unit & PLA ev t distric y c and ough ha tion, raining ofAngan d ishor S impar o Empo , T sof

t , W T

a as e raining ofAngan tion, setting ser u el exper T ed v er raining ofAngan Angan pr as i ving and G t n oman r such c c t y Buildingand t Skills (P is aining C

documenta ent Sta T er s o S and a ogr of onstitut . vic c raining of sk t int a ocial

ar v Experienc t institut t oor i ting diff primarily tifica c w t Depar t Unit wasth Univ i . t and o n – a ill oor e u CINI o tise lev o ticipa . ammes erna as erment

fur , wadi suppor t f Bengali, het d n ca dina , and pr eff er i trainings

o o el

, dina W Gender t Health, training tion ofSta r ersities

f t I ent ther o n of es acr in ec R er er

es F n c tional entr viders tment ya K elfar ogr s C es t NGOs amily o tion W Child u

or W CINI ogeneous d tiv h t v various a T tion, l o tion r adv in e t training i i being ers i orkers y rainers onP key ke l wadi a a e ar s the Oriya e e andMidL oss I t d L and and t o wadi I l . , , , c , earning , wadi Helpers ex ndia.

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ocac ommunica t like NGO documenta and the domain o needs

t of t ndia) ends W liaz e , ram ( ac the and c ICDS W T y orkers needs self-analysis ommunit CINI field monit gr CINI c rainers onASHAModule6&7 oning w orkers essed campaigns oup and Go H orkers t of W eer E 41 echnical S indi, of Super 1 T ession facilita e lev est Bengal&Nor v various . tion raining as oring v ernment A of CINI's tion with el b c el duca in , trainers tion) y y one T visors sk S onduc trainings CINI's addition r lev elf on , suppor key aining C ill assistanc , w lev self- tion under Unit r such el and various ork T Help endering of stakeholders , and els ac ASHA echnic fr dev o . tion b the is om c Sinc wn t as of tivities ounseling t Gr and ar Non- o w entr elopment e of Angan par transec th East issues t English, multi- oup e ork staff e P W f y CINIinstruc ed b or other 1975, ioneer pr suppor ticipants orkers e Go ing dev ranging ogramme members members . disciplinar v ern sta CINI and t ernment in sk ar walk wadi eloping CINI both , y CINIin15-16 and eas ill t values

al S decision T

. in c and raining Institut I Chetana ollabora and W n t in fr t of es) T or inJobC , planning addition, orker om , rainers implementa P the in c IEC , apar y ancha func social ompet motiva No backgr impar uppor mobiliza Unit classr makers /BC t tion . tionaries Resour 891 596 1867 380 21 192 , e of fr ya mapping Nursing C also enc om of ourse the ting and tion, par oom ounds ti ma with . T R T e tion T tion, the has ticipant c t he aj r raining training of pr erials e T as aining t eam raining NGO as C I epara r students is nstitut the the . esour Go w entr f or

c t Genera w one ell onduc , v ell exper modules Resour building ensuring ernment Unit Division, e as s tion in c ( v e of e C a ersed thr CRC (PRI) pool t ting ting also and tise the the f ee c or e ) , , CHAPTER 11 Major l l on appr distric CINI De T Major pr Gok Islamia S S Nursing Nursing traininga T T T T T C C T I Refr Round III Round II Round I(par nt otal raining ofRSB raining of raining ofASHA–Ho raining ofASHA–S rack he chool ofNursing-AsiaHear apacit apacit Child egra v esher hale MemorialGirl’ elopment inC training is oach. ing Highligh t pr t y Buildingof y buildingof ed of P T chool ofNursing o ogr raining ESIS r ot viding W T rainers ofRSB ec ticipants c est ammes unit tion Y M Bengal T t C echnic of itras (7ba with ollabor outh 24P WRA par WRA par alcutta Nursing ts CINI ealdah wrah (includesallther T onsisting ofHealthsuper s C r 30 aining of in al ollege Y M students has a pr C t F suppor tion with t tners of tners of ches) itras suppor omoting ar apacit ounda star ganas (includesallther T t r has W ed t T ainers onASHA6 tion 42 W W raining I t hit o T est BengalonBudget est BengalonA V alr nutrition A O the Distric oc e R T y Buildingand ther t eady A Institut ed b a ibbon Allianc tional CSR ounds) nstitut T y P been t L visors andNGO r aining A wing pr e CS v C e e ofS ac star el ourse tic dv th ounds) of and7 t ed ocac es ocial S e T . A in on T y A th ) the Module Child Chemic cienc c ommunity T echnic e ( P r als ot TISS), Mumbai. ec in No 1021 18 278 654 30 41 tion P thr aschim . ofpar 3551 5280 234 232 24 77 37 80 25 26 26 al S and ough ticipant Early Midnapor uppor 1000 F irst Ba Child da s t ch y e s t

CHAPTER 11 l l l P schools tr against on saf CINI F CINI or ublic aining door wher marriage small Allianc in explained c campaign, Santana surprisedallincludingtheNGOr suppor b against in ac a me c of I her “S I Nobel Unit dr Na mother int w W Saharanpur S daily daught was c marriage T Y n n spit ommunit ourage t y war W he antana y oung oman, v est o eam T c cle has the the erna tions child olv est . raining elera the e motherhoodissuesunder daught wha T ed Health only dr eness f e wage ma hey of (ESI, or Bengal ed meantime e ofherstruggles&challenges documentar Laur pr c and Bengal e eam ar is ting tional ers Na ommunit Head her child t Santana General t t o ( marriage t no e , ed . ernal in WRA ongue o standandupraiseherv 16 should when vided comes tha I And tion . them y S w C ea Unit she earner er's c Handholding w Her in in campaign this alcutta and ould t e

lev an when . o in b t t marriage , bec of delega the this e Lif c ), y “Billions mor CINI name similar General star onsult bec M el the pr husband W sta campaign. about the , e Nutrition Assembly the tana t y she get not (tribal oming Santana . r o ba o est fr endea . she t in t and talit y ome she K T r vides ook t ed om distric Nursing . epr raining ttle e ailash NGO t na as married study an She Bengal es ed t had tr c the kept o y). on and became “Brishti look esent tiv Assembly of omplaining a ainers t clear v stands language) a a the and a when o . Rur T our is war suppor e t huge came ev . Rupees nega

Sa pr his t C pr t but I r I of eacher early t

ing o t Unit n village Gobindo emote Although on o T en fa ev , t al ev , apacit her Chapt was giv the raining only eness her ya pr she thanks Dakshin t ” ent polic

m e stand ention t and C a tiv W the motiva acr turn ogramme raised tar o e ac t w of motherhood ommunity students y ” w t . did hit a e the the a af is . ork t child thi. in ts During oss er was or child “Basundhara 43 w tall t c mother new a I meeting y village t o lec t onsequenc e R being f t , Santanadidnotlosehopeandselfc t as er open ds o I not Hembram- or framing captur o nstitut ac the a was her in Dept t Dinajpur ting a of the daught tur t w the , 18 the oic marriage ibbon Allianc cut c “My the y Buildingand this brides era o question a eptanc lose epr fr P c of child e na this e tha y w only ancha o def t brightness ont spent Sta Unit . of ears y UN in shor ed called v diff . e omen of Health esenta tiv mist the oung P tribal ers . , the A is ancha ers t She t ec ev , her Islamia w f , e ba her e General t ed er es Santana t her ” e marriage of being in of , t “I w er all o . ent a S village ya a y the c ent f will ttle T and ecr of tion or a ourage Unit fr in he age girls c t tiv 19 list t om husband ommunit on Exposur and child y she names us etaria Univ Class ha a f ma es a of distric e suc ening or ” framed” S pr ' . t Assembly t letothergirlsofthevillagesuff documentar an chool . I (a c v Subsequently and thr t k Murmu la and turit o ev her e ogr ed . no n herendea c ersities marriage and t I ess NGO t t n ough VIII. er stand en onsor , o f wledge ts she neighbouring or fac t amme e a y be Rur y on o who Na of of . of t got lev t pr based T carr E them and o t the had t school W his , the duca such . Nursing) oo tium ofor Na and al ot she el students against tions est an . st ying T , ec

De T age tional documentar tha list acr got y c local onc ood he echnic C ourage v was oppor ting , Bengal tion int f initia on our t olleges or v she ened oss t t pr elopment e trapped out eachers of17 I er am polic a studied b thr pr onfidenc child oc and Health W v was got rights ganiza y fr

c tiv o takef while entions tunit adv ev ommunities about ess om est . ea and her getting y e . e ention ears in , Whit impar t r ocac Bengal ened ” marriage sta still r y eplac

in v y and will al S eno and in tions/ individuals M she olv of opened t or pr e tion. the f o as school thr ission c . Shesaid or y e fr war ed ev wned ontinues po ts childr speak she t ed kept of pr she got o om, R ough vicious facilita ention uppor training w A er like ibbon dea in ogrammes d the w child t with kept er and . but got the the the the the er en, on nursing th t of o e a , ting on t Photos of Events Y during D took ourchildrenforpandalhopping WBFUNA andA outh Da on RSB SHG gr y C urga Pujain2015 elebr oup spr Y S c cheme a a tor B tion onJanuar eading a obby Chak t Hemtabad w ar y 12,2016a robor eness t y t F 44 alta CINI R ight t Red F Doodle y CINI childr a Childr t Apeeja o Pla M gif en par y 2016 oung mindsc y K t en a ed ourchildr olk ticipa t theGooglef a taLit t ed a er ompetition t oneofthee en mangoesthissummer ar y F or estiv al 2016 v ents

CHAPTER 12 E outside CINI in pr ar mecahanism, While f k CINI CINI' ollo duc no ticula omot Jhark who 4. 3. 2. 1. wing: ation l l l A Child dolesc CINI t e hand models Net A T will T P IEC T T CINI, w ed o o echnical raining r car dolescent ogramme R incr t s Emer materials ights w P in dev o w contribute e , r f or orks ent diff CINI and or it ot the ease elop k has on . ec pr and ing er T Resour I pr polic he has nputs omoting f tion priorit ent or k also R , ot I nowledge Capacit Resour nnovations par epr dev innovativ suc cr ec to y pr Resour demonstra . ea oduc tnership and tion elopment y ogramma CINI futur c c e essfully ting issues ging Roles and c C y e K mechanism entr tiv C building has nowledge e e entr c and pr child pr e e and linked adolescent-friendly and ot S ogramming also e( pilot C exual t e tic and ec understanding ed entr ARC w Q friendly ting capacit orks int ualit been the ed dissemination to e Health ) M er within

the A was A ( t model anagement 45 v y CPRC o dolesc dolescent ention w C fulfill y pr saf ontr ork established and building ev and the et ) ents within ing

entiv thr ol is in y of on polic Education the net ee adv t R R and o pr Child epr e epr objec of demonstra the ocac t models ogramme y a echnical Y t framew other in oduc oduc outh c ICPS tiv 2000 P ommunit y r in f ot es: or tiv tiv (10-24 agencies joining the framew ec adolescents ork e e as division t tion. and S models e lif a exual . the W ec y t y echnical hands S ears) ith set T ork y exual he to family cle of Health a using up dev view to major framew Repr CINI and with Health b elop suppor addr str y oduc t the and which y o engthening pr IL f outh. ocuses pr , or O ess omoting pr pr and tiv omot Education in k t omote escribed . division e Jhark pr specific Education. S o exu of e vides saf , hand CPRC c al and appr on e stric within Health issues migra issues v t echnical . scale er oach ar tur genc e that tion and and e the up as t of o e CINI's Emerging Roles

ARC works in a focused way in the states of West Bengal and Jharkhand through the following operating Partnering corporates in progress model: Resource Corporate Social Responsibility (CSR) in India has over the years been largely confined to the domain of Development philanthropy. The Companies Act, 2013 redefined and gave structure to the idea of CSR and Schedule VII of & Clearing the Act, which lists out several probable CSR activities, mandates community’s consent as an important House prerequisite. The Act encourages companies to spend at least 2% of their average net profit from the previous three years on CSR activities. CSR in India, is thus slowly in transition from institution building to community development activities. Through CSR companies integrate social and environmental concerns in their Knowledge business operations and interactions with their stakeholders. CSR is generally understood as being the way Research & through which a company achieves a balance of economic, environmental and social imperatives while at Pilot Management, the same time addressing the expectations of shareholders and stakeholders. In this sense CSR can be a Interventions Dissemination & Evaluation strategic business management concept and not just an exercise in charity, sponsorship or philanthropy. Advocacy Even though the latter can make a valuable contribution to poverty reduction and directly enhance the reputation of a company and strengthen its brand, the concept of CSR clearly goes beyond that.

CHAPTER 12 Our CSR partners CapacityBuilding 1. ACC Limited and Scaling Up 2. The Appejay Trust 3. CESC Limited 4. Exide Industries Limited C I N I E d u c a t i o n 5. IBM India Private Limited Resource Centre (ERC) 6. ITC Limited has been established to 7. Jhonson and Jhonson India Private Limited

g u i d e p r o g r a m m e CHAPTER 13 8. Koppern Maco Services Private Limited development. Units in 9. Tractor India Limited Jharkhand, Diamond 10. Topsel Toyota Harbour, Kolkata, Siliguri TIL took our children out for pandal 11. TM International Logistics Limited and Murshidabad are hopping in Durga Pujo 2015 12. TKM Global Logistics Limited engaged in a variety of 13. East India Pharmaceutical Works Limited interventions in the area 14. Trent Limited o f e d u c a t i o n . E R C 15. SBI Life Insurance Co Limited supports field operations with respect to planning, c a p a c i t y b u i l d i n g, Thematic areas of funding i m p l e m e n t a t i o n , l Nutrition monitoring and liaising with the government and other implementing and donor agencies. It provides l Health technical assistance and supportive supervision. It further guides in MIS management and programme l Education reporting. l Protection l It also aims to strengthen capacities and facilitating networking among project partners. It finally acts as a Relief Work clearing house for information and knowledge on issues pertaining to the right to education and prevention of child labour. CINI's community-based Early Childhood Stimulation (ECS) and Early Childhood Care and Education (ECCE) CESC CHILDREN WORKSHOP approaches have been commended by the National Council for Education Research and Training (NCERT). They have contributed to framing the National ECCE policy and curriculum with the Woman and Child Development Ministry of the West Bengal Government. “CINI has been doing pioneering work in the realm of Our Learning Centre model for girls' education in Diamond Harbour and Murshidabad Districts has been mother and child health, particularly nutrition, in appreciated as a good practice by government and donors.CINI's efforts to help schools adopt a Child Eastern India over the last 42 years. We are happy to Friendly School approach have been acknowledged as an effective model. partner with CINI for the Roshni Project, which seeks to Our accelerated teaching methodology has been appreciated by the Paschim Banga Sarva Shiksha Mission address the health, education and protection needs of and has been partly included in the special training curriculum under Right to Education (RTE). CINI has been vulnerable women and children in urban slums of identified as a resource agency for capacity building on RTE in Kolkata and Murshidabad. Kolkata. CINI's extensive experience, competent team and transparent operating systems have been some of The ERC has established strong linkages in West Bengal and in Jharkhand with the Right to Education Forum the high points of our association. I wish the and has been identified as the State Secretariat member of the forum. organisation many more milestones in its journey of CINI in Jharkhand has supported the state Government to institutionalize the social audit process under the success.” Right to Education Act, responding the local need. Neepa Saha Sharmaa Head CSR – CESC Limited

46 47 HR and Governance

On the basis of need, impact and outcome of various programmes of CINI, we are evaluated by Donor agency HR and Governance and external evaluation agencies. Institutionalization of Governance and HR at CINI Best Performer Governance is the need of the hour in the development sector in order to ensure and promote application of Every year, employees are awarded the BEST PERFORMER in recognition of their contributions to the best management practices, compliance of law and adherence to best possible ethical standards.Good organisation. This year, they were: governance is about the processes for making and implementing decisions. It's not about making 'correct' decisions, but about the best possible process for making those decisions.HR needs to be responsible for Ms Tanvi Jha CINI Jharkhand Unit establishing an ethical culture within an organization that enables the function to achieve strategic and Ms Swarnalata Shyamal CINI Urban Unit operational objectives and performance outcome. Mr Sonu Bahadur Chettri CINI North Bengal Unit Ms Sangeeta Mishra CINI Jharkhand Unit The entire management processes and practices of Child in Need Institute are in compliance with the principles of Good Governance'. The Institute always follows Credibility norms for ensuring good governance Distribution of staff according to CTC (2015-16) in the organization. CTC per annum (Male) (Female) Total CINI works on a delegated work environment and making policy and decision are done through a four tier (including volunteers) system. Through various forums like staff meeting, core group, finance committee a unique understanding is CHAPTER 14 Up to Rs. 60,000 105 452 557 created for a transparent decision making process. Rs. 60,001-1,20,000 302 523 825 The Governing Body sets the broad guidelines for the institute and ensures good governance. The Board holds a meeting in every quarter. Audit reports along with programme reports are discussed in the Rs. 1,20,001-3,00,000 101 64 165 Governing Body to take suitable and necessary steps if required. Based on the update various guidance and Rs. 3,00,001-6,00,000 32 23 55 decision are given by the Board for smooth functioning of the institute. The Board is not involved in the day to day operation of the institute. Rs. 6,00,001-12,00,000 7 5 12 Governing Body: Rs. 12,0001-18,00,000 1 0 1 CHAPTER 14 Total 548 1067 1615 Sl.No. Name &Address Post Profession 1. Prof. Sunit Mukherjee Policy Report 18-A Nafar Chandra Das Road Kolkata-34 President Professor (retired) Annual report of Internal Complaints Committee as per the Section 21 of Sexual Harassment of Women at 2 Dr. Samir Narayan Chaudhuri Workplace (Prevention, Prohibition and Redressal) 2013 CINI Main Campus, Vill: Daulatpur, PO: Pailan via Joka, Pin- 700104 Secretary Director, CINI Reporting period (January to December 2015) 3 Prof. Kalyan Shankar Mandal Sl # Event Status 83, Newman’s Park, A Number of complaints of Sexual Harassment received in the year NIL PO Pailan Haat via Joka , Pailan, Kol- 700104 Treasurer Professor-IIMC (retired) B Number of complaints disposed within the year NIL 4 Sri Amit Kr Dasgupta C No of cases pending for more than ninety days NIL ”Srijani”, PO Joka, Thakurpukur, D No of workshops or awareness programs against Sexual Harassment South 24 Parganas, Pin- 700104 Member Social Service carried out 09 5 Mr. Joy Kar E Nature of action taken by the employer NIL Flat no F4, Regent Grove Apartment, 163/1, NSC Bose Road Kolkata 700040 Member Consultancy Firm Sl No Unit No of awareness 6 Mr. Diptendra Prasad Sinha Programme Held 18/50 Dover lane, Kolkata- 700029 Member Business 1. CINI Jharkhand 1 7 Dr. M.N. Roy 2. CINI UDP 1 Flat-5, Plot No-KB -2Sector-III, Salt lakePin- 700098 Member Retired-IAS 3. CINI North Bengal 1 8 Prof Sougata Ray 4. CINI Murshidabad 1 NF-3/16,IIM, Kolkata, P.O-Joka 5. Head Office 2 Pin-700 104 Member Professor IIMC 6. CINI Urban 1 9 Smt. Sunanda Bose 7. CINI Diamondharbour 1 3C Asoka Road, Kolkata-700 027 Member Social Activist 8. CINI Training Centre 1

48 49 Financial Report

50 51 52

Way Forward Dir Dr c T said school andr made bef f headmast I cast “ r girls among rising Child poor? times difficult c w f spiritually appr Both the institution. R and our par c r America I depriv she as a Mother n n ew ocussing epr eligious po olleagues ontr onstantly his tt amak omen andchildr . she ended 1893 ec one or S ticularly w er L ac es esenta , f tha giv oaches amir oksik ounded r t erless ol empo e . labour M eligious or I , tion. domestic the dr ed , sa f Do rishna tribals es when of t not the r issionaries , T t ” op ec S w CINI they o

er r traditions a b . wami our h their er Chaudhuri me egions diff all explain t tiv ent ” T esa God y ar in Wha , w yaP I , w outs w t wha his the efuse t , t ser our and ering e o c of es orld er M early his and in CINI need ener omen. hope ontinues giving arishad will experienc liv help visit enc has ission ving in t us W violenc V Kolk and t Chief writings and of the es holds lessons iv minorit c orld the gies the en o was engaged them o getmarriedbef e marriage ommunit t be ek been of and A o o takes t the the He a with frica, o polic their v P in r ananda incr “triggers ta poor M , emain er canoniz Charit ancha and v not C bringing a us e t r I er thelastf t inist ongr poor rich o ndia emo , in old t elabora e c y easing r o time and can sexual their back? e ser E emot best enturies c pr r who 1948, ur fr fac esour ommunities if er us with y y and ya esent of om ess , v in v and ope ga speeches pr es r e of CINI , ed e ” and of t t equir c t of

school girls tha e o the o about onstant ar the o P t v of school m and na po W ed c , t the abr Sri as viding c radhan CINI, e dedica c en Americas e es , ontinue y in orner t ew decades est learn tions Religions poor w the , a based abandoned make perpetra in ed a nagging or oad t sex poor! up the R ph er o r saint and “K a Bengal ousing e 18y amak . being impr ful qualita . ysical tha T r t R pr . t suc arma in et selec o has ar her e of fr U (elec amak it 53 esenc marriage thr in on ention om ourselv sing ea. I t t , in happen. ndia c o o rishna, A Murshidabad ears e . I been t our their c ndia v r ee ustralia ors He tiv and Y violenc t w S easonably onc t speech Mothers e ar tiv . oleranc rishna ed these oga , ept the W ork the e t unlo e e during . when o r ev e T e alsolearnttha in eminded ern of had es inspir homes our village abor v he finalt ember fiv impr ” , “ en liv er can f both CINI Chapt the Ho or t girls v e e and t o tha y es ed P M in e w a in y tions against “ pr w they rime the o na bold ed wait ears nishk village o ission poor and of v Method” ev t Chicago , c and their esent Asia. head), fr ement this fields ompensa tracing tural cr er mo Distric b the om er estimon poor the y , eep M need till T leading r sometimes st am uncar S r v one espec hr y ec inist o poor wami . ements eps ar girls disast in minorit they ear audienc T wn ee and in both or hey in e t k in ,

the , t empo doubt wher it arma , their addr er fr of d the ed t a f t families t and an y camefr other and or w om and ar ed pr t V of t motiva of ers Bhaga f meeting o iv or o shar f e a oduc liv y ev or those impr essing e star ” “ f I ek e r ,i.e w time ndia. or of missing village t and c r w eady helping c all . w w es ent oo eligious tha onstantly e ommunities M ananda, par omen ed e ering poorc our t t fur , the vad of tion issionaries r o ed o t long seek w eligions thr t ed om thegirlsthemselv t ving in ts who She their o both w the ther I ork the c ndia labour in time ork Gita. onfirmed ough man the the of meeting units girls is ing them f poor gained or closely the Kolk and r “br sharpened I ha ph mak happiness oots without ndia, keeps V girls has , y donors .S He help ” a tha , v its , others ysically

liv ca tican . wamiji in e examples is giv a c of ommunities t t ing ompar gained ta? o been social t es t no not been , fr our in w egoriz Charit tha with most nagging e enrich fr the om orld- of w I om our T seek war in ndia t t o o t and c and o a the tha r blessed in ommunities CINI ser Rome ed local suppor r eminded w w begin Kolk miss of his egar the y ed best wide z ing omen , obser orld their not t of vic ones mentally the poor sist m t f m me o int w es ocus elec a y ded fruit e out school , I orious ystical ta.T orkers a o take t . ers ndian -wide 1,194 o or o t fame t with, wing T a with o liv ving y and and and and hey lo t the t der ear f on ed be he all us es as or of of w . , Acknowledgements B A. Institutionaldonors . C · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · orpor O W US A Unit UNICEF Unit Unit T S SAHA R Oak F P F P O P Plan India Na MacAr Impulsis PRIA (S IIMP F Exide Industries E F De Depar Deaf Child Christian Medic CHILDLINE IndiaF C Child T NASSC McNally K Jhonson IT IBM Exide East CESC T A amily PlanningAssocia r ondazione C utur ur he C he a omic Relief opula oor Y ffic oppern ailw C xfam India C ac hit v ARI ONL C v tional DeafChildr opean C Limit e theChildr elopment Resear Apeeja t Limit India ed ed Na ed Na A e India genc est Ar e R or Limit entr e Gr Y affilia Hope a ounda , India Industries C tment f thur F OM y Childr tion F T ociety f , Chha W India ibbon Allianc , India Bhar a , Netherlands ed and Mac a ed oup y f e f P Pharmac tions Int tions De y F t eas CivilS ed US IT W riv y Int , Delhi,India ommission ounda e P or Int tion or De , UK ounda ounda orldwide T Jhonson Limit o t a , India tisgarh Sta ariv or Int a ed t rust erna t en, UK or P S t en ,BalR Engineering ALIA e al Associa er Limit ar Limit erna er v o Childr ounda vic tion ed v erna ar tional elopment andP eutic tion, Ne erna tion ofIndia,Ne ona, Italy elopment pr tners ociety (P en ticipa es ch C e ed India , UK tional De , India ed ( 's S tional Childr V P tional De al tion ofIndia(FP aksha Bhar t tion, Mumbai , odaf riv ommunic e O UK tion ofIndia,Ne en Int W ociety t w Delhi,India or P a orks C riv ffic t A one e y Resear o CS), DFID . Limit a v erna L e ogr elopment (USAID t 54 t , India v Limit e F d elopment (DFID ounda opula a Limit . w Delhi amme (UNDP a en tion &S ed tional t , India ch inAsia) 's Emer ed ed AI), Mumbai tion A tion) w Delhi , KansasCity er genc vic c tivities ( es C ) ) ), UK y F entr und (UNICEF), , USA CEDP e (DRCSC A ), India ), K W olk est BengalSta a ta, India t e

Acknowledgements C. A · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · c Nirmaan Ne Ne Ne Na Mar Mahber Ling Linc L Kids Kalinga Indian I.P Hariy Har Har Gr Gok Goethals Godwin Glenhill G F Do Doon Delhi Darjeeling C C C C Baptist Assembly Apeeja AMRI Alipor Asian Abhina SBI T T TKM TM T ademic opsel A r e utur entr entr ar alcutta anges ent . wis T een w wt w tional w Memorial Int t A Lif tle tle gar hale olns ouche y 'n Liang O Global Hill Chemic on ana e al al India P S ork Heritage Int English e e erna xf y y La ' T Institut chool ublic Laur y T v et Girls' Insur Model Model T o P High Gurukul t Institut ots Modern P Da or S S High Nursing erna wn Memorial Bhar in V P High y ublic Memorial P V ublic Sist chool chool of ota ublic idy d High ublic S y idy tional P y Limit , ea L chool High S T Asansol S ublic God S als anc of ogistics S S S ots chool tional er chool Institutions a a chool S S a t chool chool S e S (P S chool ti es S chool Jy chool Nursing S , , Mandir chool e S chool chool Niv S of S chool K K e ed r Chandannagar S chool High S chool Chur T chool of oti L chool S ep A S olk urseong chool C chool r F ogistics chool c chool Girls' aining , , o edita or S S Ho adem , , ) S D S , chool ocial K S a S ourini Limit , Limit chool Mirik ur eign S ch ar ta, olk chool G wr chool , K ar gapur a Siliguri S , S High olk India ah t Siliguri a chool y chool Institut cha S , T Limit Bose ed ta, ed cienc K r Bazaar a ade urseong ta,India India Road S chool , Road ed , 57 55 K es 1 K e olk olk , , Bhubanesw K a olk a ta, ta a India ta, India ar , Odisha, India A ck no wledgemen ts ts Acknowledgements ts Acknowledgements

· North Point Residential School · Dept. of Home, Govt. of West Bengal, India · North Point Residential School, Lake Town · Dept. of Panchayat & Rural Development, Govt. of West Bengal, India · Nursing Training School, ESI Hospital Sealdah & Maniktala, Kolkata, India. · Dept. of Women and Child Development, Govt. of West Bengal, india · District Administration, Darjeeling, Jalpaiguri & Coochbihar, West Bengal, India · North Bengal University · District Authorities (Health, Panchayat, Home, ICDS and Education), West Bengal, India · Our Lady Queen of the Mission School, Salt Lake · District Child Protection Society (DCPS), Darjeeling, North Dinajpur, Murshidabad , West · Pragati Education College, Siliguri Bengal, India · Rose Bud English Academy · District Information & Cultural Office, Murshidabad, West Bengal, India · Royal Academy · District Magistrate, South 24 Pgs · S.S. Memorial School · Eastern Railway, Ministry of Railways, Govt. of West Bengal, India Government Railway wledgemen wledgemen Police, West Bengal, India · Salt Lake Indira Gandhi Girls Senior Secondary School (KIND) · Health & Family Welfare Samity Darjeeling, Jalpaiguri , North Dinajpur , West Bengal, India · Shri Guru Vidya Mandir High School · Jharkhand Education Project Council, Ranchi no no · Siliguri Boys High School · Jharkhand State AIDS Control Society, Ranchi · South City International School · Juvenile Justice Board, Murshidabad ck · St. Thomas Day School ck · Kolkata Environmental Improvement Programme, Govt. of West Bengal, India A · St. Xavier's School, Ranchi A · Kolkata Municipal Corporation, India · Sunny Prep & High School · Kolkata Police, India · Sushila Birla Girls' School · Kolkata Tramways, India · Kolkata Urban Services for the Poor (KUSP), Kolkata, India · The Assembly of God Church School, Asansol · Ministry of Health and family Welfare, New Delhi, India · The Bishop's School, Ranchi · Ministry of Rural Development, Govt of India · Usha Martin School (Howrah) · Ministry of Sports and Transport, New Delhi, India · Victoria Boys, · Ministry of Women and Child Development, New Delhi, India · Viharilal College of Home & Social Science, Kolkata, India · National AIDS Control Organisation, MoHFW, New Delhi, India · United Missionary Girls high School · National Child Labour Project, Dept. of Labour, Govt. of Jharkhand, India · University of Calcutta, West Bengal, India · National Institute of Health and Family Welfare (NIHFW), New Delhi, India · National Rural Health Mission (NRHM), India · International School · NRHM, Govt of , India D. Foundations and Trusts · Paschim Banga Sarva Shiksha Mission, West Bengal, India · Paschim Banga Sarva Shiksha Mission – Kolkata district, West Bengal, India · Anand Paul Foundation · Paschim Banga Sarva Shiksha Mission – Murshidabad district, West Bengal, India · ASML Foundation, Netherlands · Railway Protection Force, West Bengal, India · Aviva Foundation · School Education Department, Govt. of West Bengal, India · Essar Foundation · Siliguri Municipal Corporation, West Bengal, India · Fondazione Blue, Italy · State AIDS Prevention and Control Society, Govt. of West Bengal, India · Fondazione San Zeno, Italy · Superintendent of Police, Darjeeling, North Dinajpur, South 24 Parganas, West Bengal, india · Harsh and Payal Hada Foundation, Kolkata, India · Siliguri Metropolitan Police,India · Naandi Foundation, Andhra Pradesh, India · Vagrancy Department, Govt. of West Bengal · West Bengal Police, India · Sir Dorabji Tata Trust and the Allied Trusts, India · West Bengal State AIDS Prevention & Control Society, Kolkata, India · Sparsh, Mumbai, India · West Bengal State Health and Family Welfare Society, West Bengal, India · The Hans Foundation · Zilla Parishad Jalapaiguri & North Dinajpur, West Bengal, India · Vital Foundation, UK · Volkart Foundation, UK F. CINI International Support Groups · CINI Australia E. Partners from Government (Ministry, Departments, Bodies, Institutions) · CINI Holland · Board of Secondary Education, Govt. of West Bengal · CINI Italy · Child Welfare Committee, Coochbihar, Darjeeling, Jalpaiguri, Kolkata, and Murshidabad, · CINI USA North Dinajpur, North and South 24 Parganas, West Bengal · CINI Belgium · Dept. of Development and Planning, Govt. of West Bengal · Friends of CINI, Glasgow · Dept. of Health and Family Welfare, Govt. of West Bengal, Mizoram, Manipur, Meghalaya, Nagaland, Tripura, Sikkim & Arunachal Pradesh

57561 571 Acknowledgements G. O · · · · · · · · · · · · thers W T Sta Sta Sta Sta Siliguri Mr Murshidabad Mohanbagan F Ananda a riends eb v . t t t t ola Sisir e e e e De C Bank Bank Bank V entr v Journalists' of aldese Cha Mandir elopment CINI, of of of al tt Go India, India, India, opadha P A , r thletic Ne Italy Club ess v ernment w C Club Club K ADB Berhampor Delhi o , olk K . y Club L olk a t a d Br ta . a and anch , ta K Br olk anch L e oc a 57 58 Br 1 ta al anch Bodies A ck no wledgemen ts

Acronyms M L KMC JSY JSSK ITP ISSNIP IPPF IIHMR IICHAA IGNOU IF IEC IC ICPS ICDS IA HRG HRG HR HIV HIV GP GP FSW ESI ERC EPHN ECS ENT EC DSP DIC DPO DFID DCPU C C C C CSR CSO CINI CPRC C CHCMI CFC CDPO CBO C BF BDO A A ASHA ART ARSH ANC ANM ARI AIDS A CA G CRC WC W WIN WFC WC TI C A Y AM T M CE AF C A C W -L WS s Modera Lif Kolk Janani Suraksha Janani ShishuSurakshaK I ICDS S I I I I I I I I I I H H HumanResour HIV Link Human I Global P Gram P F Emplo E E Early ChildhoodStimula Ear Nose Early ChildhoodC Deput Dr Distric Depar Distric Child Child and Child C C Civil S Child inNeedI Child P C C Child F Child Dev CINI ChetanaResour C Beneficiar Block Dev Angan Angan A Anti Retr A Ant A A A Associa mmoral nt ndian I ndian I ndira G r nf nt nt nt ndira A emale S duca duca ollabora orpora ommunit ommunit ommunit on F c dolesc cut c uxiliar igh R igh R op I e C cr quir orma erna egra egra egra e Na edit a e Respira y ta Municipalit W W olic acid ociet tion Resour tion P n C tment f y Superint t P t ChildP yst y ed I cle Appr wadi wadi C isk Gr isk Gr riendly C r t t t tional PlannedP ancha t nstitut nitia ees' Sta orkers I elfar y NurseM ot was t andhi Na ent Repr tion E ed C ed ChildP ed ChildDev t ed S ed C o e A mmunodeficienc tal C W o e S T r ex T em Str entr v tiv elopment P ogramme O ec elopment O raffic P W y F viral mmuno Deficienc hr orker S er y Gr y HealthC y BasedOr y Or cut W ocial Responsibilit r W tiv oman F e C Y e tion Resour oups oup ounseling and oa ocial HealthA ot ement C t eedback Mechanism ar ojna ya entr e or I y A duca t T orker orkers e ofHealthManagementandResear T e f or nstitut r oup ec T raining I oach t e Malnutrition e n Nepal ganiza t ommitt ablet c ot t ommunities engthening andNutritionI e I herap es oduc Y endent ofP y I c r nt or ChildC tional OpenUniv tion HealthandNutrition e c ev ec cheme ojana idwif ar tion F r nsuranc tion C e C ot erna nf y C riendly C e andE tion Unit ention A c elopment S ec ar ec ompan e r ganiza tiv e C entr tion ffic y ffic ojec orpora ee e e ManagementI nstitut tion S tion tional Dev und ar c e S tion ommunica entr e C er er ar enthood F e y e t O c entr exual Health duca T yak V tivist entr tion olic y S esting C y ommunities c irus e cheme tion ffic t e y 59 ed andHIV/AIDSAppr aram yndr e e tion er er elopment ersit vic tion ome edera entr es y nitia e tion mpr tiv e o v ement P ch oach r ojec t Acronyms WL WHO WCD WBSA W VL VHSNC VHRC VHND VC UNFP UNCRC ULB T TI ar THR TERI TB SW STRC STI SRH SRHR SNP SHG SBI SAM SAIE SA SABLA SAARC RTE RMNCH+A- Repr RKSK PRI PRA PPT POSC PNC K PNC PLHIV PLA P OR NUHM NTP NRHM NRC NHM NGO NCERT NC NA MU M MOHFW MLA MDG MCP MCH M A T T ASH AS CPC CS CS T CS W C C CPC A C eas O V C s T A O A CS it C W W W W W V V V V V Unit Unit Urban L T T T T T S Sta S S S Supplementar S Sta S S Sta R S R R P P P P P P P P P Out Reach Na Na Na Nutrition Rehabilita Na Non Go Na Nutrition C Na M Malnutrition M Member ofL M Mother andChildP Mother andChildHealth Mahila Ar etanus ar ake HomeR uber he Ener ocial exually exual Repr exual andRepr elf HelpGr ev outh AsiaI outh AsianAssocia ancha ar ar ost Na ost Na eople LivingwithHIV oor r r oluntar illage L illage HealthSanita illage HealthResour illage HealthandNutritionDa ajiv G ight t ashtriya K ar a orld HealthOr omen andChildDev est BengalSta id-Upper ArmCir inistr illennium Dev ev ot tional UrbanHealthM tional tional RuralHealthM tional HealthM tional C tional AidsC get t t t t ticipa ticipa er d L er Sanita e Resour e BankofI e AIDSP ec oduc ed Na ed Na ention ofP est Ar e A culosis ed I W tion ofChildr o E ev andhi S y ofHealth&F ya tal C tal C v ocal Body T elfar ev y C cut ernment Or gy Resear T t t T el ChildP tiv o ogya Samit ti R or or duca ransmitt nt raining P tions P tions C ea CivilS ouncil f x el ChildP W ounseling andChildC ishor S oid ounselling and oup e Ma y RuralAppraisal y L oduc nitia e Malnutrition ar ar er r c tion andHy egisla e orkers aj I T a ev e e K e r tion v ndia cheme f y NutritionP earning andA tion ea T ar ontr ention Ar ention andC nstitution elopment Goal t ganiza oduc tiv raining C t opula tiv on e AidsC it ents t tment C ernal NewbornandChildHealthA or E wasth ission ed I ch I r tiv e t ar cumf ociet ot r e Health ol Or en fr v tion C tion f r ot ganiza ention ontheR tion andNutritionC ot y tner e Assembly tiv o End c ec amily duca nstitut nf ec elopment e C or Empo tion F tion o Child ec tion C e HealthandR ya K ission ec om S er y ganiza giene tion eas ontr ission tion C entr or RegionalC entr entr entr enc tion tion Resear tion r T V W ogramme ar esting ontr und e c iolenc ol S exual O e e elfar ommitt e e tion e 60 yak T 1 tion w ommitt y ransmission ol S ociet erment ofA ar ram e e againstChildr e S ocieties ights oftheChild ff ee y ch and ession enc ights oopera ee ommitt es dolesc T tion raining ee en ent Girls(RGSEA dolesc ent Health G) A cr on yms

Sponsorship programmes running W t i d d a S educa an Str mother t number in CINI r the moneyraisedb will phot mother thr c g p c c l T C A G E A m i h eaches o r a h f b i h o r o r m on e u e ll a a o r duc i e o p v n dopt addition list eet ener l , e ough c w n v en d w e i u d be o a I Y A dona i l i trained n a o ograph a r a i d t ou t u r b tac d elc n n en l e vir r t n f tional h e fac r childr o f o linked a g m i t a h ; i e n and w r k y period F liv her F n will p o out s ome of onment t of then ct n b e a t d a e g or or ears eeping h c t t o t o i r y t n , l u e o i a a es series the l w h r n other t y cinifr@cinindia al tions t f u c the t r t o just be t child a a child M t h e b health en, ou ma t s h a h of e n o o o f of t s dona e a e i t a e dona i A o b o n u e W c e c r w in Mother linked monit a F . T the t will a d r o t d h c p u health i d a others childr p e h epor l erials eek omen 15,000 p h r o i u of s p pr n und them r t new t while c e c n he and depriv o e i o i p i Child c o onduciv s h l r m tions made e d child d w egnant o a g u t be c y theA f tion r a i s l ly our l t t r h e r r a n a d orkers oring t Educ i t e t i en . f o , i i mother n o ft Clinic i d . o af see a l k doing s M n p w thr d n t in g ther s e h e m a S ouching r of t s r rupees a o of orker's without r a o ed o t a o er epor a u mother i t h their ough t n 1 p l v v r a the p s dopt aMotherinitia o e h y an w t one e the d e e e a 8000 t t

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CINI h t ha s , e r e ome uses i h e tha e a . s and o v i y y t t the the t l ess e n t e t es d ou o r h v t e e l t ' u p o e e a a a l s s r t r l , Contact Us T Email: [email protected] Assistant Dir C F T P V CINI Email: [email protected] Assistant Dir C HIV/AIDS D Email: cpr C Child P Email: [email protected] C C E Email: [email protected] Divisional Head C De Division of Email: [email protected] Assistant Dir C A el: +913324978240/+9124536359 ax: +913324536359 in -700104, oor duc ill ontac ontac ontac ontac ontac ontac dolesc hema v . &P elopment dinat T a r tion Resour .O aining Unit t: M t: Dr t: NairitaBanerjee t: ManojK t: Dr t: Dr r ot ent Resour . AmgachiaviaJok or [email protected] ec itun Bose . RumeliDas . A . I tic divisions ec ec ec W ivision ndrani Bha tion Resour diti Ro W oman andChildHealth t t t or ( or or est Bengal umar Sir T c r aining) y Cho e C c , e C Daula entr g , ttachar g ent g g car g c w g , I e C T dhur a, 24P tpur Child inNeedInstitut e (ERC ndia er el: +913324978192/8206/8251/8641 Kolk entr y , P ya, y a , .O ar ta -700104, e ( ) Email: [email protected] . P F ganas (S) ax: +913324978241 CPRC ailan viaJok 62 Head O 1 ) W ffic est Bengal a, 24P e: Email: k Assistant Dir C F T P F 63 R Email: [email protected] Assistant Dir C F T P 63 R CINI UrbanUnit Email: [email protected] Assistant Dir C F T R 441/A AshokNagar Jhark el: +913340058927/99 el: +913340058920 el: +916512245370/5831 ax: +913340058900 ax: +913340058900 ax: +916512243549 und R in -700016, in -700016, ontac ontac ontac anchi-834 002,Jhark ar afi AhmedK afi AhmedK g ganas (S hand Sta , I t :K t: ManidipaGhosh, t: R aising UnitandInt [email protected] ndia anjan K akoli D e ec ec ec W W t t t outh) or or or( Str t est Bengal est Bengal e Unit idwai Road idwai Road ey anti P , RoadNo5 , at hand egic Planning) anda, g , I , I erna , Kolk , Kolk ndia ndia g g tional Unit a a ta ta

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