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MARVI with her family planning client

HANDS introduced Community Health Worker model for the areas where there is no Lady Health Worker (LHW). This model works on the same pattern as LHW model where the Lady Health Worker has a static centre at her residence and makes home visits as well for service delivery. She is supported by a health committee and women group that are voluntary assisting boards formulated by her for providing health services in the target area. Each health worker is assigned an approximate population of 1000 and is named as “MARVI” worker in our model.
Objective:

The objectives of this model are to:

  • Improve reproductive health and family planning status in marginalized communities of the country.
  • Provide basic health services in non-LHW areas.
Methodology:
  •  Identification of MARVI by Community Based Organization (CBO)
  • Signing of Memorandum of Understanding (MoU) with CBO and MARVI
  • Training of MARVI
  • Establishment of MARVI Markaz (Health House)
  • Supplies to MARVI equipment and essential medicines and social marketing products
  • Initiation of health services including home visits and health awareness sessions
  • Monitoring and supervision
  • Monthly meeting with HANDS and CBO for progress sharing
  • Development of Monthly Progress Report (MPR)

 Services Provided by MARVI:

  • Mobilization of pregnant women for antenatal services
  • Mobilization of pregnant women for postnatal services
  • Demand creation and sale of social marketing products (Family Planning methods, safe delivery kit, iodised salt, oral rehydration salt, essential medicine)
  • Treatment of common ailment
    • Acute Respiratory Infection (ARI)
    • Diarrhea
    • Malaria
    • Common skin diseases
  • Growth monitoring of Under 3 years children
  • Referral of normal delivery to trained Traditional Birth Attended (TBA) or Community Mid Wife (CMW)
  •  Referrals of complicated cases to nearby health facility
  • Facilitation for Expanded Program on Immunization (EPI)
  • Health awareness sessions and heath education on community home visits
  • Other RH & FP services in remote areas where there is no LHW.

Achievement:

Overall 1000 workers have been trained so far in 09 districts.

Unit cost:

  • Fixed cost (MARVI kit, MIS register, Sign board and Health posters) : Rs. 12,000/=
  • Running cost: Stipend 3000 per month
  • Monitoring Cost:   3500/= per month
  • SMK subsidiary : Rs. 5000/=
  • Total Annual Cost of one MARVI : Rs: 150,000