In addition to direct technical assistance at frontline operational levels, the sustainable change required that we catalytically engage the two programs to:
- Improve public health leadership and managerial skills.
- Sharpen focus on outcomes and gain the ability to use data and be driven by evidence and strengthened internal accountability.
- Strengthen core systems within both programs to provide an enabling environment for effective implementation of RMNCHN interventions.
The interventions include:
- Weak Newborn Tracking: Including mechanisms of mentoring, supervising, and supporting FLWs to focus on delivering services and support equitably to all families, robust name-based tracking systems, logistics for ensuring supplies at the last mile.
- ICT/mobile app: The Ministry of Women and Child Development has pushed an ambitious plan to scale up the CAS-ICT-RTM mobile app across the country, beginning with using World Bank assistance funds to provide smartphones to AWW in 8 states (including Bihar), with CARE supporting the rollout in all states.
- VHSND platform: The TSU, under a smaller separate grant, attempted to explore another channel to promote FLW-family interactions, besides home visits, since FLWs could not be persuaded to increase home visits.
- Incremental Learning Approach (ILA): ILA continues to be the main approach for FLW capacity building in the state.
- Weekly CF Practice-together Days (Upari Aahar Abhyas Diwas): TSU nutrition team has been able to conceptualise and get rolled out at scale the new initiative for more frequent contacts between 7 to 9 months to enable establishing of appropriate CF and feeding norm for each child.