Annual Progress Report Community Development Programme

48 Pages·2016·2.82 MB·English

Annual Progress Report

16 July, 2015 – 15 July, 2016

Community

Development

Programme

PHASE Nepal

Sinamangal-9, Kathmandu

Phone no. 01 6203479
Post Box: 12888, Kathmandu
1
Email:[email protected]

URL: htt://phasenepal.org
TABLE OF CONTENTS

ABBREVIATIONS AND ACRONYMS ......................................................................................................4
CHAPTER 1: PROGRAMME EXTRACT AND MAJOR HIGHLIGHTS ............................................................6
1.1 Health programme .............................................................................................................................. 6
1.2 Livelihood programme ........................................................................................................................ 6
1.3 Education Programme ......................................................................................................................... 7
1.4 Earthquake Relief Projects .................................................................................................................. 7
1.5 Staff training and other activities ........................................................................................................ 7
1.6 Coordination, Networking and Monitoring ........................................................................................ 7
CHAPTER 2: ORGANIZATIONAL INFORMATION ...................................................................................8
2.1 Vision & Objective ............................................................................................................................. 9
2.2 Programme Components ..................................................................................................................... 9
2.3 Approach & Strategy ........................................................................................................................ 10
2.4 Project Information ........................................................................................................................... 11
Chapter 3 COMMUNITY HEALTH PROJECT ......................................................................................... 15
3.1 Maternal Health ................................................................................................................................ 15
3.2 Child Health ...................................................................................................................................... 16
3.3 Family Planning ................................................................................................................................ 18
3.4 Health Awareness Raising Activities ................................................................................................ 19
3.5 Local Capacity Building ................................................................................................................... 20
3.6 Clinical services ................................................................................................................................ 20
3.7 Capacity strengthening program ....................................................................................................... 22
3.8 Issues, Challenges, Recommendation ............................................................................................... 22
CHAPTER 4: LIVELIHOOD PROGRAM ................................................................................................. 23
4.1 Staff Information ............................................................................................................................... 23
4.2 Staff Capacity Building ..................................................................................................................... 23
4.3 Major activities and beneficiaries (Humla and Bajura) .................................................................... 24
4.4 Technical support to staff .................................................................................................................. 26
4.5 Integrated Community Development Project.................................................................................... 26
4.6 Livelihood Improvement Program, Mugu ........................................................................................ 27
4.7 Challenges ......................................................................................................................................... 28
4.8 Success Stories .................................................................................................................................. 28
2
CHAPTER 5: COMMUNITY EDUCATION PROGRAMME ....................................................................... 29
5.1 Major Objectives of PHASE Community Education Programme .................................................... 29
5.2 Activities under Education Programme ............................................................................................ 30
5.3 Staff Capacity Building ............................................................................................................... 37
5.4 Visits by volunteers ........................................................................................................................... 38
CHAPTER 6: RECONSTRUCTION AND RELIEF PROJECTS ...................................................................... 40
6.1 Shelter assistance for TLCs - UNHCR Project ................................................................................. 40
6.2 PIN winterization in Simthali, Selang, Pangtang, Hagam and Fulpingkot VDCs, Sindhupalchok .. 40
6.3 Caritas Germany & Caritas Austria winterization in Tauthali .......................................................... 41
6.4 WASH Recovery and Sanitation Support Project in Sindhupalchok:............................................... 41
6.5 Support to Landslide victims in Bajura & Gorkha............................................................................ 41
CHAPTER 7 STAFF CAPACITY BUILDING AND MISCELLANEOUS ........................................................... 43
7.1 Staff Training /Capacity Building ..................................................................................................... 43
7.2 Health Training: ................................................................................................................................ 44
7.3 Social Mobilization Training: ........................................................................................................... 44
7.4 Livelihood training: .......................................................................................................................... 44
CHAPTER – 8 COORDINATION, NETWORKING AND MONITORING .................................................... 45
8.1 Support, Monitoring, Partnership & Networking ............................................................................. 45
8.2 Process Evaluation: ........................................................................................................................... 46
8.3 Promotions and Marketing ................................................................................................................ 46
8.4 Nepal Earthquake Sharing and Learning Workshop ......................................................................... 47
8.5 Donor Conference ............................................................................................................................. 48

3
ABBREVIATIONS AND ACRONYMS
ANC Antenatal Care
ANM Auxiliary Nurse Midwife
BCG Bacille Calmette-Guerain (TB vaccine)
CBO Community Based Organization
CB-IMNCI Community Based Integrated Management of Neonatal and Childhood
Illness
CDP Community Development Programme
CGI Corrugated Galvanised Iron
CHP Community Health Programme
CMA Community Medical Assistant
DAO District Administration Office
DADO District Agriculture Development Office
DEO District Education Office
D(P)HO District (Public) Health Office/r
DPAC District Project Advisory Committee
DPT Diphtheria, Pertussis and Tetanus
ECD Early Childhood Development
EDF Education Development Facilitator
FCHV Female Community Health Volunteer
FY Fiscal Year
GESI Gender, Equity and Social Inclusion
GO Government Organization
GP General Practitioner
HA Health Assistant
HDI Human Development Index
HFMC Health Facility Management Committee
HiB Haemophilus Influenzae B
IPV Injected Polio Vaccine
JTA Junior Technical Assistant (Agriculture Technician)
MG Mother’s Group
MPI Multidimensional Poverty Index
NGO Non Government Organization
NTTI Nepal Teacher Training Initiative
OJT On the Job Training
OPD Outpatient Department
OPV Oral Polio Vaccine
ORS Oral Rehydration Solution / Salts
PHASE Practical Help Achieving Self Empowerment
PHC Primary Healthcare Centre
PNC Postnatal Care
PCV Pneumococcal Vaccine
4
PwD People with Disabilities
SBA Skilled Birth Attendant
SLC School Leaving Certificate
SM Social Mobilizer
SWC Social Welfare Council
SODIS Solar Disinfection Method
TB Tuberculosis
ToT Training of Trainers
TT Tetanus Toxoid
VCC Village Cleaning Committee
VDC Village Development Committee
WASH Water Sanitation and Health

5
CHAPTER 1: PROGRAMME EXTRACT AND MAJOR
HIGHLIGHTS
Introduction
PHASE Nepal believes in a self-empowered and self-sustained society; where all kinds of
discrimination are absent; PHASE’s objectives are to improve the livelihoods of rural
people by providing immediate support, health care services and empowering
communities. Under its Community Development Programme, PHASE Nepal works in
health, education and livelihood programmes. This year, PHASE conducted its core
programmes in 22 extremely remote VDCs of 6 districts in 4 development regions. Apart
from the ongoing programmes, after the devastating earthquake of 25th April 2015,
PHASE Nepal started to work in relief and reconstruction projects and this work continued
through this financial year.

1.1 Health programme
 501 child births were supported by skilled health workers.
 1,431 pregnant women visited at least once (ANC 1st) in PHASE supported clinics.
The women got medical check-ups, iron tablets and Albendazole (deworming
tablets) in the clinics.
 758 new born babies had health checks in PHASE clinics.
 16,385 children under 5 yrs of age were treated by PHASE Nepal staff, among them
8,530 male and 7,855 female.
 7374 children were monitored of which 746 were underweight which is
approximately 10% of the total children monitored
 953 sessions of door-to-door visits were organized.
 2274 people benefitted from counselling on family planning
 177 events concerning school health which benefitted 5006 children and 324 events
of community health education which benefitted 5629 people were organized to
raise awareness of diarrhoeal diseases.
 89 events of orientation for FCHV and Mothers group were conducted which
benefited 2517 women
 OPD services provided by PHASE Nepal benefited 90,637 people, a significant
increase of 20% compared to the previous year.

1.2 Livelihood programme
 2064 farmers received support and training across 6 districts.
 Training on Improved farming practices benefited 299 farmers including 199
female farmers.
 Training on all season vegetable Production has been conducted 24 times.
 10 events for training of soil fertility improvement (Composting, Green manure)
were conducted.
 Training on improved vegetable production benefited 316 farmers including 219
female farmers.
6
1.3 Education Programme
 345 teachers received training on best teaching practices
 6,598 students of 54 schools in Sindhupalchowk district received stationery support.
This also includes support provided to children under emergency relief program
 Alternative education (flexible schooling program) to 70 students is going on in
Chumchet VDC of Gorkha
 505 women completed adult literacy classes in in 2 batches conducted in Humla
and Bajura district.
 Health education program was organized in 89 schools

1.4 Earthquake Relief Projects
 After the devastating earthquake of 25th April 2015, PHASE immediately started
working on providing relief with priority in its existing projects areas, but
benefitting other areas as well. After concluding emergency relief, PHASE also
started to work in reconstruction projects.
 Over 13,000 families were reached; over 17,557 bundles of CGI sheets were
distributed, as well as almost 12,000 WASH kits, tarpaulin, tool kits, Winterization
kit and many other relief materials
 54 Temporary learning centres (TLCs) constructed & 1060 Set desk and bench set
supported in affected area
 4 blocks of 2 schools constructed in affected area
 5918 students received Teaching materials, sports and recreational sets and School
Bag sets.
 3 Health posts reconstruction has been planned of which 1 is under construction
 43 Water Schemes and 140 toilets completed in WASH supported project and
remaining are under construction ( August- 2016)

1.5 Staff training and other activities
 PHASE staff took part in regular bi-annual training on different topics. According
to performance and after evaluation, need based training was implemented. In
addition, 10 GPs from the UK visited the project areas to further strengthen the
capacity of the staff.
 6 students from Jiri technical school completed their on the job training in health
(ANM) and 2 in the agriculture program.
 3 teacher volunteers from the UK visited PHASE Nepal and supported in staff
development and monitoring frameworks.

1.6 Coordination, Networking and Monitoring
Coordination and networking meetings have been conducted at all levels of project
implementation and government administration. Done MOU with Ministry of health,
department of agriculture, department of Livestock and department of education. Similarly,
Coordination visits have been made to respective districts DHO, DEO offices. Besides
7
PHASE’s regular involvement in review meetings, DPAC meetings have been conducted
in districts.

CHAPTER 2: ORGANIZATIONAL INFORMATION

Practical Help Achieving Self Empowerment (PHASE) Nepal is a not for profit, non-
government, nonpolitical, Non-religious, equal opportunities, social development
organisation founded in 2006 by a group of professional development workers, who have
been engaged in national and international development organizations in Nepal for many
years. PHASE specializes in improving health, education services and livelihood
opportunities for disadvantaged populations in very remote and resource poor Himalayan
mountain villages in Nepal. PHASE aims to support the most vulnerable people to break
the cycle of poverty; by assisting communities and local authorities to lay the groundwork
for a selfsufficient future.
PHASE believes that poor health, low educational levels and poverty are all aspects of the
same problem, and create a cycle preventing people from taking control of their own future;
PHASE aims to address these aspects simultaneously, through integrated Community
Development Programmes (CDP) which empower individuals and communities on all
levels.
PHASE has special emphasis and expertise on working in extremely remote areas - areas
in the high Himalayas, with scant resources, a harsh climate, difficult terrain, and little or
no access to basic services. These are areas often neglected by development NGOs, being
too difficult and expensive to manage successful projects in. PHASE’s philosophy is to
work in areas of greatest need, which is extremely challenging but is also an area in which
we have had extensive success. Our target communities have experienced rapid change in
short periods of time – for example, areas with no functioning health system and no access
to or trust in modern medicine are provided with a high standard of primary healthcare and
preventative education. Beneficiaries learn to use and trust the system extremely rapidly
and within months a PHASE health post can see between 30 and 60 patients a day.
Since its inception in 2006, PHASE has treated over 450,000 patients and can confidently
assert that on average our health workers save at least one child’s life every month.
Similarly, the organization has contributed to more than 800 household toilets and
improved livelihood opportunities for over 15,000 people in 19 VDCs. These are
staggering figures that can’t be claimed by many other organizations. The success of our
projects under such challenging circumstances can be attributed in large part to our main
asset: our staff team. We have a strong and supportive volunteer board, a talented group of
highly motivated support staff in the central office, and a hardworking and brave team of
young, mostly female field staff.
PHASE Nepal’s main funding partners include PHASE Worldwide, PHASE Austria,
Hrothgar, Lindsay Cooper and Nepal Teacher Training Innovations and more recently Eco
Himal, Caritas Austria, Caritas Germany, Diakonie Katastrophenhilfe (Germany) and
other Humanitarian Aid organisations. PHASE works to establish various support
networks and partnerships with government and non-government agencies as well. As of
8
July 2016 PHASE has 138 full time staff and is working in 27 remote VDCs of Bajura,
Humla, Mugu, Gorkha, Sindhupalchowk and Kavre districts in Nepal.

2.1 Vision & Objective
Vision
 A Self-empowered and self-sustained society; where all kinds of discrimination are
absent.
Objective
 To improve the livelihoods of rural people by providing immediate support through
health care and education services and empowering them.
Specific Objective
 Help people in the selected areas to provide better education to their children in an
adequate environment.
 Make people aware about health and hygiene providing health education and
supporting high quality primary healthcare services.
 Help the community to develop relatively safer and sustainable water supply
infrastructures and train on health and sanitation aspects of water supply.
 Improve education opportunities for children and adults in rural communities and
contribute to improving the quality of formal education services Help in
refurbishment of the community properties.
 Support people’s livelihoods, particularly through access to improved agricultural
techniques
 Assist affected communities in recovery after the devastating earthquakes of April
and May
2015

2.2 Programme Components
PHASE believes that lack of opportunity, equity and access are all aspects of poor health,
low educational levels and poverty, and pursues an integrated approach to create
opportunities among the communities of isolated hill areas.
Basic health services: general treatments, safe delivery, family planning, behaviour change,
health education
Education: Adult literacy, early childhood development classes and flexible schooling
programme, school teacher and library support, teacher training, scholarship to poor pupils
and infrastructure improvement
Agriculture, forestry and livelihoods: training and supporting farmers to increase
productivity of high value crops, livestock, medicinal and aromatic plants and their
marketing
Gender, governance and social inclusion: women are the main priority while planning and
implementing the programme. Specific gender programme includes girls empowerment
projects and Adult Women Literacy programme
Infrastructure development: basic infrastructures such as school buildings, water taps,
toilets, furniture, community buildings and others
9
Strengthening institutional capacity of group: small scale saving and credits, group
registration to local governmental authority, leadership development
Conflict mitigation and social justice: conflict victims, returnees, disabled and otherwise
disadvantaged persons are always at the centre of our focus

2.3 Approach & Strategy
PHASE Nepal always appreciates and respects positive endeavours from individuals,
communities and national and international governmental and non-governmental
organizations. The organization always takes into consideration the following approaches
during the programme implementation process:
Participatory approach: We encourage our beneficiaries to participate actively in our
programmes right from the needs assessment to the implementation, monitoring and
evaluation, and sharing of lessons learned.
People centred approach: Community people are central to all our development efforts and
interventions.
Coordination and collaboration approach: Activities are coordinated with governmental
and nongovernmental organisations at grassroots, district, national and international levels.
Accountability and transparency: All the programme activities and corresponding budget
allocated for that particular programme are transparent; anyone at any time can have access
to this information, if requested.
Demand driven approach: Programme activities will not be imposed from the top, but are
selected based on the informed choice demand driven approach and requests made by the
beneficiaries.
Needs driven approach: PHASE always tries to plan and select project areas and activities
according to highest need

The organization consistently embraces the following principles while implementing the
programmes: Integration: PHASE Nepal makes every effort to promote integrated
approaches in its project areas. PHASE believes that the successful integrated model of
health, education and livelihood activities empowers and helps communities to break the
cycle of poverty and to improve their futures. GESI: PHASE works with vulnerable people
across resource poor remote communities, but specifically within these communities'
women, children and the most underprivileged people are the focus of our programmes.
Human Rights: PHASE Nepal is guided by its humanitarian policies which actively nurture
all aspects of human rights from within our programmes.
HDI/MPI & Cluster: When selecting project areas PHASE Nepal analyses available
information about the geographical clusters based on the Human Development Index and
Multidimensional Poverty Index. PHASE also collects baseline information to find and set
the key indicators before any programme intervention.
Ownership & sharing: In PHASE projects, local stakeholders are involved in the decision-
making process and community activities are carried out with local participation during
the course of project implementation. Efficient community participation, cost sharing and
coordination with government line agencies create community accountabilities and
ownership of the project.
10