MENSTRUAL HYGIENE MANAGEMENT...do not explicitly mention menstrual hygiene there is a provision for piped water to households, which would help improve hygiene across the board. He

MENSTRUAL HYGIENE MANAGEMENT: TRAINING OF MASTER TRAINERS

PRESENTED BY THE

Water Supply and Sanitation Collaborative

Council (WSSCC) IN COOPERATION WITH THE

Indian Institute of Public Administration

NEW DELHI, INDIA 24-27 SEPTEMBER, 2013


2

Cont

ents

AbbreviationsMHM Menstrual Hygiene ManagementWSSCC WaterSupplyandSanitationCollaborativeCouncilNRHM NationalRuralHealthMissionNBA NirmalBharatAbhiyanNBY NirmalBharatYatraMDWS MinistryofDrinkingWaterandSanitationIEC Information,educationandcommunicationGOI GovernmentofIndiaTOT TrainingofTrainersIIPA IndianInstituteofPublicAdministration

Abbreviations 2

Introduction 3

Background 4

NirmalBharatAbhiyan:MenstrualHygieneManagementinPolicyInterventions 5

ConceptualFramework 6

ThreeDimensionsofMenstrualHygieneManagement 6

RighttoSanitation 6

BreakingtheSilence 7

UnderstandingMenstrualHygieneManagement 7

TrainingResourcesandSkills 8

ActionPlansandNextSteps 9

Conclusion 9

Annexes 11

Annex1:ParticipantList 11

Annex2:TrainingProgramme 15

Annex3:StateActionPlans 17

1.DelhiPlan 17

2.UttarPradesh(NGO)Plan 18

3.UttarPradeshNRHMPlan 22

4.UttarPradeshGovernmentPlan 23

5.MadhyaPradeshPlan 24

6.JharkandStatePlan 26

7.BiharPlan 27

8.ChhattisgarhPlan 28


3

Introduction

This report presents the main highlights and insights from the Training of Trainers (ToT) on Menstrual Hygiene Management (MHM) Programme, which was run by the Water Supply and Sanitation Collaborative Council (WSSCC) from September 24-27, 2013 in New Delhi with the support of the Indian Institute of Public Administration.

Thefirstofitskind,thisnationaltraininginitiativewasorganisedwiththeobjectiveofcreatingmastertrainersfromHindi-speakingstatescapableofreturningtotheircommunitiesaschampionsforadeeplystigmatisedandtabooissue–anissuewhichiscentraltothedignity,healthandwell-beingofwomenandgirls.

Sixty-twoparticipantsfromUttarPradesh,Jharkhand,Bihar,MadhyaPradesh,Chhattisgarh,UttarakhandandDelhiwhoattendedthefour-daytraining.TheNationalRuralHealthMission(NRHM)andWater,SanitationandHygiene(WASH)sectorswerewell-representedbygovernmentrepresentativesandNGOpractitioners.

ThetrainingwasboostedbythepresenceofMrPankajJain,SecretaryoftheMinistryofDrinkingWaterandSanitation,andMsPratimaJoshi,DirectoroftheNirmalBharatAbhiyan,bothofwhomemphasizedtheimportanceofusingMHMtoachieveacleanerIndiaandexpressedtheirsupportforincludingMHMintheNBAguidelines.TheyalsogaveexamplesoftheneedforbuildingcapacitytoaddressthethreeprongsofMHM,includingbreakingthesilenceonthistaboosubject,incorporatingMHMintoIECstrategiesandencouragingtheuseofNBAfundsforsafedisposalofusedmenstrualmaterials.


4

Background

According to a study by AC Nielsen and Plan International there are 355 million menstruating females in India; but only 12% use sanitary napkins, and the large majority live with the indignity of stigma, shame and taboos surrounding menstruation. Stress and loss of productivity are only two of the many unwarranted consequences attached to this biological phenomenon, which should be a source of pride as it is a key element of the female reproductive cycle, and one that helps perpetuate the human race.

WSSCC’sMenstrualHygieneLab,whichranduringthe51-dayNirmalBharatYatra(NBY)acrossfiveIndianstatesbetweenOctober2andNovember19,2012,foundthat80%ofgirlsintervieweddidnothaveanyknowledgeofmenstruationuntiltheonsetofmenarche.Forthesegirls,theirfirstperiodwasaccompaniedbyfearofdying,shameanddistress.WomenandgirlsalikerespondedenthusiasticallytotheopportunitytheMHMLabgavethemtotalkabouttheissue,learnhowtoaddressitatapersonalandsocietallevel,andcommittotakingtransformativeaction.

BasedonthisoverwhelmingresponseandthedemandforinformationandknowledgeonMHM,WSSCCembarkedonatwinstrategyofworkingwiththeGOItoarticulatetheseneedsclearlyinnationalpolicy,whilebuildingcapacitytoimplementthispolicyacrossarangeofstakeholdersatstateanddistrictlevels.

TheTrainingofTrainers(TOT)ProgrammeorganisedinDelhiwasthefirstofitskindtohavetheobjectiveofequippingtraineeswithtoolsandknowledgeforadvocacyandtrainingthatfocusedonarrivingatanindividualactionplan,whicheachtraineecouldtakeforwardtotheirrespectivestatesandorganisations.

Only

12% of Indian

menstruating women use

sanitary napkins


5

Nirmal Bharat Abhiyan: Menstrual Hygiene Management in Policy Interventions

TheinauguralsessionwithMrPankajJain,SecretaryoftheMinistryofDrinkingWaterandSanitation(MDWS),DrT.Chatterjee,DirectorofIndianInstituteofPublicAdministration(IIPA)andProf.SushmaYadavofIIPAhighlightedtheimportanceoftheissueandtheworktobedoneonMHMinIndia.

MrJainpointedoutthatwhileNBAguidelinesandthemajorityofWASHinitiativesdonotexplicitlymentionmenstrualhygienethereisaprovisionforpipedwatertohouseholds,whichwouldhelpimprovehygieneacrosstheboard.HealsopointedtoexamplesofsuccessfulinitiativesonMHMinschoolsinTamilNaduandMadhyaPradeshthatcouldserveasanexampleandinspirationtotherestofthecountry.

MrJainsaidthathisrecentexposuretothisissuehadconvincedhimoftheneedtoincludeitinsanitationandhygienepolicy,andmainstreamtheissueinschoolsandcollegessothatgirlsandwomenwouldnotfeelvulnerableandfrightened.BothMrJainandDrChatterjeetoucheduponthecrucialissueofsafedisposalthroughincineratorsandcomposting,highlightingthecomplexityofthechallengeandtheneedforfurthereffortandactionresearch.

Takingthesethemesforward,Prof.Yadavappealedtotraineestomakefulluseofthisopportunitytoequipthemselveswiththeknowledgeandabilitytobreakthetaboosandsilencearoundmenstrualhygiene.ShewasexcitedbytheinnovationandcouragebehindthetrainingandpleasedtobeassociatedwithsuchacentralissueasMHM,whichaffectshundredsofmillionsofwomenandgirls.ShesaidthattheToTprogrammeillustratedvividlyandcreativelythecorrelationbetweenMHMandIIPA’sfocusonbetteradministrationandgovernanceinIndia.

▲ VolunteersfromWSSCCpartnerGoonj,anIndianNGO,showgirlshowtheycanmakesanitarynapkinsathomefromcleaned,recycledcloth©WSSCC.

Examples of successful initiatives on MHM in schools serve as

an example and inspiration to the rest

of the country


6

Conceptualframework

Three dimensions of Menstrual Hygiene Management

The training was based on WSSCC’s framework for Menstrual Hygiene Management (MHM), which includes the three interlinked dimensions of managing menstruation hygienically. Ms Archana Patkar shared these aspects with the group. The three prongs of MHM are:

1.Breakingthesilence–fosteringunderstandingthatmenstruationisafactoflifeandadistinctbiologicalfemaleattributeofwhichwomenshouldbeproud,notashamed.Girlsshouldbeencouragedtotalkaboutthisbiologicalphenomenoninaninformedandpositivemanner,topreparethememotionallyandphysicallyfortheonsetofmenstruationandsubsequentmonthlymenstrualperiods.

2.Managingmenstruationhygienicallyandsafely–ensuringadequatewater,cleansingandwashingmaterialsandprivatespacesformanagingmenstrualflowshygienicallyandprivately,andwithdignity,inthehomeandinpublicspaces.

3.Safereuseanddisposalsolutions–ensuringmechanismsforsafereuse,collectionanddisposalofmenstrualwaste,withdignityandenvironmentalsafety.

Right to SanitationFollowingthethree-prongedapproachwasadiscussionabouttherightsframework,theRighttoSanitation,andbarrierstoaccessanduse,whichsetthetoneforthenextfourdays.Thegroupwasquicktounderstandandpointoutthatoftenpolicies,aswellastheimplementationofsanitationinitiatives,donottakeintoaccountgender,ageanddisability.

Therewereseveralcriticalquestionsraised,including:“IftheRighttoSanitationisestablishedandratifiedwhyistherenodemandforthisright?”and“CanRTSbeachievedforwomenandgirlswithoutconsideringMHM?”Perhapsthemostimportantpointraisedwasthatalthoughinfrastructureandfacilitiesplayacrucialrole,womenareunabletodemandtheirrightsbecauseoflackofconfidenceandsecurity.Forexample,whilegirlsmayhavethenecessaryfacilitiesinschool,theystillstayathomeduringmenstruationbecauseoffearandparentalrestraintsontheirmobilityduringthistime.

ArchanaPatkarsharedherexperiencefromtheNirmalBharatYatra,wherethehighestdemandamonggirlswasnotforsanitarynapkinsbutforacounsellororteachertheycouldtalkto.Arecurringquestionwasformoreinformationon thisissue.

“If the Right to Sanitation is

established and ratified why is there

no demand for this right?”


7

Breaking the Silence Thetrainingbeganwithanexperience-sharingexerciseinwhichparticipantstalkedabouttheirfirstencounterwithmenstruation.Itwasevidentfromtheparticipants’enthusiasmoverthecourseoftheexercisethatformany(especiallymaleparticipants)thisforumwasthefirstopportunitytheyhadhadtoopenlydiscussthistopic.Furthermore,itwasclearthatsilenceandshameattachedtomenstruationhadtouchedeveryoneinonewayoranother.

Storiesfrommenoftenhighlightedconfusion,secrecyandseparationbetweenboysandgirls,whilewomen’sanecdotesillustratedtheshame,isolation,fear,sadnessandtaboosassociatedwithmenstruation.Someinterestinganecdotesincluded:

“As a young boy, I used to see advertisements for sanitary napkins and imagine that wearing these pads would help me run faster. It wasn’t until biology class in school that I realised what was going on. And the family would always make an effort to cover or avoid us watching these ads. I asked but was never told what it was.”

“In my village I used to notice that a lot of cloth was thrown out in piles outside. On one occasion I noticed that some of the cloths looked familiar and were from my house and I became suspicious and began questioning adults about why they were thrown out. I was given a very vague explanation around menstruation, that is was something that women encountered, and was shut out from having any further conversation around it.”

An unusual anecdote highlighted the involvement of a progressive male family member. It inspired the group to use the portrayal of a positive figure to create the concept of ideal role models and champions for this cause.

“My first period was extremely painful and I was scared and in a great amount of pain. It was my father who actually taught me how to use the pads and to take care of my health and nutrition. I was actually informed that it was a good thing – and given full information about the regularity of my period, etc.”

Attheendoftheexerciseitbecameobviousthatmenstruationwasshroudedinshame,taboo,fear,secrecyandisolation.Perhapsthemostsignificantfeatureofthissessionwasthatforthefirsttimebothmaleandfemaleparticipantshadexperiencedanequalandopenplatformtoshareanddiscussmenstruationandhowithadtouchedtheirlives.

Understanding Menstrual Hygiene ManagementThenexttwotrainingsessionswerespentunderstandingthethreemainaspectsofmenstrualhygienemanagement(asmentionedpreviously).ThetraineesweredividedintogroupsandstudiedtoolsdevelopedbyWSSCCanditspartners,whichexplainthemenstrualcycleandchangesinthehumanbodyfromchildhoodandadolescencetoadulthood.ThetoolsandtrainingguidesdevelopedbyWSSCCarelivingmaterial,designedtochange,evolveandbeadaptedtodifferentcontexts.

Whilethissessionaimedtoimproveunderstandingofthebiologicalprocesseslinkedtothemenstrualcycleitalsoenabledparticipantstosystematicallyprovidefeedbackonthetrainingtoolstheyused.ValuablefeedbackwasacquiredfromthegrouponthemenstrualwheelandtheKavaadtool,whichwillbeincorporatedintothetoolkitstorefinethembeforebeingsharedwiththetrainersforfutureuse.

ThegroupsthenbrainstormedonthethreeaspectsofMHMandsharedsolutionsonhowtoaddressthechallengeswefacebreakingthesilence,onMHMpracticesandsafereuseanddisposal.

Managing menstruation hygienically and safely

Safe reuse and disposal

solutions

Breaking the silence

“As a young boy, I used to see advertisements for sanitary napkins and imagine that wearing these pads would help me run faster. It wasn’t until biology class in school that I realised what was going on. And the family would always make an effort to cover or avoid us watching these ads. I asked but was never told what it was.”


8

Theseincluded:

n GenderSensitisation–MHMatitscoreisaboutequityandalifeofdignityforwomenandgirls,

n Sexeducation–whilethishasbeenacontroversialissueitiscrucialthatsexeducationbeaddedtoschoolcurricula,withafocusonapracticalunderstandingofthebody,

n MHMshouldbeclearinpolicyguidelines–healthworkersareincentivisedtoworkonanissueonlyifisincludedinthepolicyandguidelines,andindicatorsaremonitored,

n Usingmassmedia–theinvolvementofVidyaBalanhaschangedthingsbecausenowpeoplearethinkingabouttoiletsasanissue,andthesameshouldbeappliedtoMHM,

n Educationonsafehygienicpractises,

n Moreresearchondisposalpractices,

n Researchonlinksbetweenmenstrualhygieneandreproductivetractinfections.

Training Resources and SkillsHavingspentalmosttwodayslearninganddiscussingthevariousaspectsofMHM,eachgrouppreparedasessionfromthetrainingmodulesandconductedatrainingexerciseinplenary.

Aseachgroupcontaineddifferentkindsofworkers,managers,trainersandfacilitators,theydisplayedagoodunderstandingandinternalisationofthecomplexityofissuesattachedtoMHM,includingtheroleofdisability,roleplayedbyboysandmeninMHMandthelinksbetweenreproductivehealthandMHM.Allofthetraineesemployedcreativetools,suchasrole-playingexerciseslinkedwithquestionandanswersessions,toimpartthetraining,whilebearinginmindthedistinctiveneedsofruralandsemi-urbantargetgroups.

ThesetrainingsessionshelpedtheWSSCCteamunderstandtheefficacyofthetrainingmanualsandthetrainees’levelofunderstanding.Consequently,sensitiveissuessuchasdisability,andtechnicaltopicsthatneededamedicalunderstanding,mayrequiremoresupportingmaterialsandtools.

ThelasttwosessionsofthetrainingmovedawayfromthefoundationsofMHMtotraining-basedsoftskills.Experttrainersconductedsessionsoncommunicationandtrainingskills.Thesesessionswereparticularlywell-receivedbytheparticipantsastheyputtheissuesdiscussedoverthreedaysinthecontextofeffectivecommunicationandtraining.

Action Plans and Next StepsOndaysthreeandfourthegroupsdividedintosub-groupsbasedontrainees’homestatesandsectors.Theythendevelopedactionplansfor2014,givenexistingmanpowerandresources.Thiswasapowerfulexerciseastheparticipantswereabletoapplythelearningfromtheprevioustwodays,andputitintoactionablestepsusingexistingknow-howandtheresourcesavailabletothem.Actionplans(summariesofwhichareincludedintheAnnexes)focusedonimmediatenextstepsandusingexistingresourceswithpotentialtechnicalassistancefromWSSCC.


9

Therewereseveralmotivatedplansfromaroundthecountry.Forexample,theNGOsdrewupplanstoconductsurveysandtrainingswithadolescentyouthandwomenintheircommunities,whilesomegovernmentworkerscreatedaworkplanforcommunitymobilisationandadvocacywithpolicymakersintheirregion.

Dependingoncapacitiesandroles,theplansvariedfrombeingextremelycomprehensivetoambitious.

AnorganisationinDelhi,forinstance,aimstotrain1000adolescentgirlsandboysand1000womeninMHM.TheNGOgroupfromUttarPradeshconductedanimpressiveself-analysisandcreatedamulti-stakeholderplanthatincludestraininginvillages,schoolsandcommunity-basedorganisationswithwomen.TheUttarPradeshNRHMgroupplanstodirectitsenergyontoadvocacyacrossdifferentlevels.Chhattisgarhisplanningonfocusingitseffortsonadvocacy,capacitybuildinganddevelopmentofresourcesandcommunicationmaterials,whiletheMadhyaPradeshgrouphasdevelopedcomprehensiveadvocacyandtrainingplans.

TheactionplansummariessubmittedbytheparticipantscanbefoundinAnnex2.

ConclusionThetrainingoftrainersconductedbyWSSCCinDelhiforHindi-speakingstateswasanunusualTOT,inmorewaysthanone.CreatingacadreofmastertrainersforMHM,anareaoftenmistakenlyconsideredesotericorminor,meantthatparticipantshadtomakesignificantleapsinbecomingcomfortablewithdiscussingmenstruation,understandthetopicanditschallenges,andthenbuildtheskillsneededtotransferthisknowledge.Thiswasanambitioustaskforsuchashorttraining.

Overthecourseoffourdays,notonlydidseveralparticipants(whohaveneverdiscussedmenstruationopenly)conducttrainingsessionsforover50people,theywerealsoabletocreateplansforadvocacy,communicationsandtrainingwithintheirrespectiveorganisations.Additionally,thisgroupalsoservedasfirsttestersofthematerialsandresourcesdevelopedbyWSSCC.Allofthisfeedbackhasbeenrecordedandwillbeincorporatedintothematerialaswellasthenextsetoftrainingsessions. ▼ Participantsatthetrainingprogramme


10

Asabonus,thankstotheMDWS’sinvolvement,MHMhasnowbeenincludedintheNBAguidelines–aclearandimportantmilestonetowardmainstreamingMHMinIndia.MovedbytheToTprogramme,MsBhagwatiSharma,atraineewhoworkswiththeNBAinChhattisgarh,wroteandcomposedasongontheshameandsilencethatshehadexperiencedasayounggirlonissuesconcerningmenstruation.ThesongandanEnglishtranslationareshownbelowinBox1.


11

Annexes

Annex 1: Participant List

S.no Participants S.no Participants1. MsRasmiMishra

Trainer Mob:08187999118

2. MsShaliniSinghSakthaks-20/51-7ANepaliKhoti,Varuna Bridge VaranasiCantt221002

3. MrPankajJainSecretaryMinistryofDrinkingWaterandSanitation,GovernmentofIndia

4. MsNilimaAchwalVillgroApt101,SilverSpringsC/447PerryRoad,Bandra(W)Mumbai400050Mob:9833238169Email:[email protected]

5. MsVarshaSharmaEditor/WriterforWSSCCNewDelhiMob:9810275804Email:[email protected]

6. Prof.SushmaYadavProgrammeCoordinatorIndianInstituteofPublicAdministration,NewDelhi

7. MrS.K.SinghVice-ChairmanMeerutDevelopmentAuthority,Meerut

8. DrT.ChatterjeeDirectorIndianInstituteofPublicAdministration,NewDelhi

9. MsSunitaKumariSamantaAssistant Engineer DrinkingWaterandSanitationDept.JharkhandMob:8987473741Email:[email protected]

10. MsBhagwatiSharmaNBA,PHED,GARIYABANDMob:8085542821Email:[email protected]

11. MsShaistaKhanamState TrainerU.P. NRHMMob:09415474359Email:[email protected]

12. MsSatyaSuyaDasikaDirector,ProgrammesKnowledgeLinksPvtLtd.KA-54,1stFloor,Kaushambi,GhaziabadMob:9810516216Email:[email protected]

13. MrJamaMohammadProjectManagerArthikAnusanthanKendraDewariNaditeer,Haliya,MirzapurU.P.Mob:9793817860Email:[email protected]

14. MsRenukaPatelTraining&HygieneSpecialistBilaspurMob:8109298988Email:[email protected]


12

S.no Participants S.no Participants15. MsDipaliRoy

Training&HygieneSpecialistBilaspurMob:9770160602

16. MsDurgaMandaviMemberofLokShaktiSamajScriSansthan,RajnandgaronDistrict,ChhattisgarhMob:9407782964

17. MsPramilaSharmaMemberofLokShaktiSamajScriSansthan,RajnandgaronDistrict,ChhattisgarhMob:7587303890

18. MsSaritaTyagiGaneshpurVillage,Mawana,Meerut U.P.Mob:9690439637

19. MrAjayKumarSecretary,SatyakamManavsewasamiti,H-99Ganganagar Meerut U.P. Mob:9410814135Email:[email protected]

20. MsPrachiAryaSatyakamManavSevaSamiti,H-99GanganagarMeerut U.P. Mob:9897265724Email:[email protected]

21. MsRuchiSatyakamManavSevaSamitiH-99,GangaNagar,MawanaRoadMeerut250001,U.P.Mob:9769941556

22. MunmunDeyProgrammeOfficerNEEDS,Jharkhand–814112Mob:07781002447Email:[email protected]

23. MrSarbaniBhattacharyaDocumentationCoordinatorForceC-8/8035,Vasantkunj,NewDelhiMob:8745017932Email:[email protected]

24. MrRaghubirSinghDistrictProgrammeManager43MadhubaniColony,MoradabadMob:8005193077Email:[email protected]

25. MsSeemaPandeyAsst.ProjectCoordinator175,BangaliColonyKanapurMob:8400998031Email:[email protected]

26. MsReenaToppoChiefCommunityMobilizerGlobalSanitationFund,LokJagritiKendra52BighaMadhupur,Deoghar815353,JharkhandMob:09431734467Email:[email protected]

27. MsPyariKiskuCommunityMobilizer,GSFProjectIDENT,Dumka,SIYPahar,S.P.College,DumkaMob:09572895220

28. MsShamimFacilitator5/27AJangpura,BMathuraRoad,NewDelhiMob:9718193626Email:[email protected]

29. MsBhartiFacilitator5/27AJangpura,BMathuraRoad,NewDelhiMob:9718724748Email:[email protected]

30. MrJanardanSinghProgrammeCoordinatorMDSSVDA,Flat(NearKachahari)MirzapurDistrict,U.P.Mob:09450244259Email:[email protected]

31. MsRajeshKumariMPFMeejapurMob:9897210504

32. MsVandanaTayagiMPFMeejapurMob:9557310778


13

S.no Participants S.no Participants33. MrShivendraPratapSrivastav

ProgrammeManagerSamajKalyanEvamBalVikasParishadBiraichi,Biraicha,Ghughli,MaharajganjU.P.Mob:9935202321Email:[email protected]

34. MrDepinderS.KapurIndiaWashForum,NewDelhi

35. MsRitaUrwashiFacilitator(MRYDO)81ABlockBPhaseIIIPremNagarNaiapgarhMob:9213301409Email:[email protected]

36. MrRupeshKumarRathureStateConsultant,CCDU,EngineerinChief,PublicHealthEngineeringDepartmentnearBhavan,civillinesRaipurMob:09229260444Email:[email protected]

37. MsBhartiKushwahCLTS,MPMob:7354890353

38. MsSanjuSharmaMob:7415152325

39. MrMadhurimaMasihNandaRegionalConsultantCCDU,OfficeofSuperintendingEngineer,DurgCircle(C.G.)Mob:9407694312Email:[email protected]

40. MrSaurabhKushwahaProjectCoordinatorShramikBharti,392VikasNagar,KanpurMob:7897992895Email:[email protected]

41. MsSeemaSavitaCommunityFacilitatorMob:9198897533

42. MsGitaCommunityFacilitatorMob:9198897533

43. MsMridulaYouthOrganizerNewDelhiMob:9810758144

44. MrDurgeshMallDistrictCommunityProcessManagerDistt.ProgrammeManagementUniteN.R.H.M.,BastiU.P.Mob:9450479232Email:[email protected]

45. MrBalramTiwariRegionalASHACoordinator19,AVidhanSahaMarg,LucknowMob:09335071100Email:[email protected]

46. MsAsitaMaldahiyarProgrammeManagerADITHL,H/0ErK.P.Singh,IASColonywestofcanal,offbialyRoad,PatnaMob:[email protected]

47. MrSabirIqbalCommunityDesignSpecialist,StateWaterandSanitationMission,NBA,OfficeofDevelopmentcommissioner,VindhyachalBhavan,2ndfloor,room-126BhopalMob:9669494594Email:[email protected]

48. MsSumanSinghSecretarySAKHI,Mtsyanagar,Bhagwtipur,PO-Rudrapur,AndhrathaiMob:09431021204Email:[email protected]

49. MrKumarPankajAnandDistrictProgrammeManager,DPMU,NRHM,U.P.Mob:9415390387Email:[email protected]

50. MsRadhaShukalCoordinator392,VikashnagarLokhanpur,KanpurMob:9935535682Email:[email protected]


14

S.no Participants S.no Participants51. MsSultanaUsmani

AdvocatingReproductivechoicesStateConsultant,C-142/C2,SectorAMohanagar,Lucknow,UPMob:9839837395Email:[email protected]

52. MrBikramadityaSenSecretaryANGELC/0MainroadBorioPostBorio,DisttSahebganjMob:8102559081Email:[email protected]

53. MrSanjeevKumarBhagatDirectorLokKalyanSevaKendra,At+PoDevinagar,MahaeshpurMob:943136848Email:[email protected]

54. MrJasvinderkaurForceFieldAreaInchargeMob:8447120303Email:[email protected]

55. MsRashmiSinghSocialMobiliserSakhi,Matysanagar,Bhaghwtipur,AndharathodiMob:8252445447Email:[email protected]

56. MrPurusottamPandaRegionalConsultantAt-CCDU-PHEDChhattisgarhMob:7898804289Email:[email protected]

57. MrSantoshPantUttarakhadAcademyofAdministration,NainitalMob:9720988129

58. MrSureshAryaUttarakhadAcademyofAdministration,NainitalMob:9410374441

59. JaspreetKaurSub-divisionalEngineerWaterandsanitationDivision.Bhatinda,Punjab

60. GirirajSharmaCLTSChampionGuna,MadhyaPradesh

61. VeenakshiSharmaDirectorCCDU

62. BirendraKochar

MrAnchalPrakashExecutiveDirectorSaciWaterSouthAsiaMob:961884459Email:[email protected]

MrKrishanaRamavatTeamGoonjNeelkaninHotal119,Gangori,Uttarkashi,UttarakhandEmail:[email protected]

MrShivanginiTandonConsultant,SKARMA,MIT,GreenParkMain,NewDelhiMob:9967788899Email:[email protected]

MsArchanaPatkarProgrammeManager,NetworkingandKnowledgeManagementWaterSupplyandSanitationCollaborativeCouncil,GenevaEmail:[email protected]

MrVinodMishraNationalCoordinatorWaterSupplyandSanitationCollaborativeCouncil,GenevaMob:9411107760Email:[email protected]

Listofresourcepersons


15

Annex 2: Training Programme

Time Session FacilitatorsDayOne:24September,2013

9.00-9.45 Registration9.45-11.00 Inauguration9.45 Nationalanthem

WelcomeandIntroduction VinodMishra10.00 TrainingofTrainers’Overview ArchanaPatkar10.25 WelcomebyDirectorIIPA T.Chatterjee,Director,IIPA10.35 GovernmentofIndia’svisionandstrategy:Menstrual

Hygiene Management in NBAPankajJain,Secretary,MinistryofDrinkingWaterandSanitation,Govt.ofIndia

11.00 VoteofThanks Prof.SushmaYadav11.10 Teabreak11.30 MHM:Whatisit?Whatdoyouknowaboutitand

whyisitimportant?Participantanalysis(film)Archana/Krishna/Nilima

12.30 Feedbackanddiscussion13.30 Lunch14.30 Conceptualframework Archana/Nilima16.00 Teabreak16.15–18.00 Groupwork

Sixgroupsworkon:1)BreakingtheSilence(VinodandVarsha);2)ManagingMenstruationHygienically(NilimaandArchana);3)SafeReuseandDisposal(KrishnaRamawat)

DayTwo:25September,201309.30-11.00 FeedbackfromGroupWorkandReflectionsfromDay111.00-11.30 Teabreak11.30-13.30 TrainingofTrainersManualLearningUnits1,2,3,4,6

and7–12groupsoffiveeachreadanddiscusswithfacilitatorfor45-minutesandthentrainpartnergroupLeadtrainerandco-trainermanagefirst10minutes,thenswitchrolestorapporteurandobserver.Recordingdifficultiesandquestionsismainlearningpoint.Exchangeroles–trainerbecomestrainee.Shareexperiences.

13.30 Lunch14.30-15.15 Plenary–LearningUnit5–stakeholderanalysisand

institutionsforNRHM.15.15-16.00 CommunicatingsensitivetopicssuchasMHM–

LearningUnit816.00 Tea16.30-18.00 LearningUnits9and10(KrishnaandNilima)


16

DayThree:26September,201309.30-10.30 MHMLAB–MCKiPatshala–conceptandvision10.30-13.30 Groupworkandtea–threelargegroupsfollowed

bysixsmallergroups–MHMloopusingalltrainingmaterials–wheel,flipbook,etc.–rotatewithhealthpractitioners’training

13.30-14.30 Lunch14.30-15.00 Participantfeedbackandreflections15.00-16.30 Monitoringparticipation,qualityandevaluationof

impact16.30 Teabreak17.00-18.30 Participantideasontheme,interactionwithdirector,

NBAandwayforward

DayFour:27September201308.00-12.00 Workingsessionson:1)Finalreporting;2)Participant

suggestionsandrecommendations(materialandtrainingrolloutintheirstates),staterolloutin2014–workplans,M&Eplans

13.00 Thankyou–WSSCCNationalCoordinator13.30-14.30 Lunch


17

Annex 3: State Action Plans

OnbehalfofActionIndiaWorkArea:NineareasinDelhi,namelyDakshginpuri,Madangiri,DwarkaSector-16,NewSeemapuri,KalandarColony,Sundernagri,Jahangirpuri,Bhalswa,JantaMajdoorColony(Welcome).

TargetGroups:

n 9to12yearsgirls’Nanisablagroup

n 13to20yearsgirls’G.L.Igroup

n 9to12yearsboys’Tarungroup

n 13to25yearsboys’youthgroups

n 25to40yearswomengroupsandcommunityworkers

Trainers:Youthorganizers,facilitators,youthleaders.

ActivitiesandMediums:Meetings,groupdiscussions,focusgroupdiscussions,streetplays,roleplay,IECmaterial,flashcards,surveys,etc.(monthlymenstrualcyclemoduleandfilm).

TargetNumbers:

n 1000girlsandboys

n 1000womenaged25-40

Timeduration:18months(startingfromNovember,2013)

Stakeholders:ASHA,ANM,Anganwadiworkers,GRC,governmentdispensary,MCDschools,NigamParshad,counsellorsandNGOnetwork.

Resources:Menstrualhealthandhygieneexperts,ActionIndiafacilitators,NBYguidelines.

Methodology:FocusGroupDiscussions.Forthefirstsixmonthsinformationwillbeprovidedonmenstrualhealthandhygienetothetargetgroups.Overthenextsixmonthseachworkareawillbevisitedandchangesinthetargetgroups’habitswillberecorded,basedontheinformationtheyreceived.Oncethisprocesshasended,researcherswillreturntothefieldtoreviewhoweffectivelyeachgrouptheypassedontheacquiredknowledgetotheircommunities.

Evaluation:Atthestartoftheprocessasurveywillbeconductedtoascertainthelevelofinformationthegroupshaveontheissue.Attheendoftheprocess,afollow-upsurveywillbecarriedouttomeasuretheincreaseintheirknowledgeandpractice.Thegroupswillalsobeassessedonthepracticestheyarefollowing,theirsexualhealthandhowmuchtheyhavereachedthelargercommunity.Peereducatorswillbetrainedineachcommunitytofacilitatethesurveys,GDsandFGDsintheirrespectivecommunities.

1 DelhiPlan


18

Name Designation&Org.

Responsibilities OperationalField Stakeholders AvailableResources

ShivendraPratapSrivastav

P.M.SKBVP

CoordinationDocumentationPublication

HealthWaterEducationSanitationEnvironmentProtection

SchoolsNGOsPRIsSHGs

HRVehiclesTraining Centre

RashmiMishra FieldAnimatorNGO

ChildRightWomenHealth

EducationNutritionHealth

ANMsASHAsPRIsSchoolsAWWs

Staff

Vandana Tyagi & RajeshKumari

TrainerNGO

SHGsformationMHMImmunization

Health ASHAsANMsAWWSchoolsGovernmentCommunity

StaffTraining Centre

JamaMohammad PCNGO

Training Health,Sanitation,Hygiene,MHM

ASHAsANMsPRIsSchoolsGovernmentCommunity

StaffTraining Centre

Surabh PCNGO

Coordination WaterSanitationHygiene

ASHAsANMsAWWSchoolsGovernmentCommunity

Staff

Seema SHGMember Facilitation SolarEnergy ASHAsANMsCommunity

_

Seema Pandey Asst. PCNGO

CoordinationFacilitation

WaterSanitationHygiene

ASHAsANMsAWWSchoolsSlumCommunity

FundsfordrinkingwaterMaster Trainers

Radha ProjectCoordinatorNGO

CoordinationFacilitation

WASHHealthLivelihoodEducation

CommunityPRIs

Radiostation

Groupprofile

2 UttarPradesh(NGO)Plan


19

StrengthsThepresenceoftheelementsidentifiedinthediagrambelowareseenasbeingstrengthstotheUtarPradeshGroup.


Group Well-experiencedstaff

WASHHealth

EducationLivelihood

Villages–450Slums–150

ASHAsANMsSchools

Slumcommunity


20

Issue Rural ResponsibilitiesAwareness 1-2marksoutof10 4marksoutof10Infrastructure 1markoutof10 5marksoutof10Facilities 1markoutof10 1markoutof10Myths/Taboos 9marksoutof10 6-7marksoutof10

Member CommitmentsShivendraPratapSrivastav n HolisticapproacheswithSchoolManagementCommittee(SMC)

n SHGstrainingandempoweringtheirlivelihoodsthroughsanitarypadmakingn SharingwithFriendCircle

RashmiMishra n EstablishmentofBalSanrakashanSamitin CBOs trainingn SharingwithFriendCircle

VandanaTyagi&RajeshKumari n MHMtraininginfivevillages,throughindividualeffortsn AtleastonesessiononMHMineverytrainingn Buildingrelationshipswithadolescents

JamaMohammad n EngagingstaffandvolunteersinMHMprojectn Formationofvillagelevelcommitteen SMClevelapproach

Surabh n Raisingawarenessthroughsocialmedian Literaturen School,communitiesandASHAslevelapproaches

Seema n MeenaMunchn ASHAslevelapproachn EngagementofPRIs

Seema Pandey n TrainingonMHMin24Schoolsn TrainingonMHMin60slumsn Counsellingadolescents

Radha n Literaturen Useofdocumentaryfilmsn 30Volunteerswillbeengagedinthisprogramme

Situationanalysis

Threecommitmentsfromeachmember



21

Plan

EvaluationTheapproachtotheevaluationprocesswillbedrivenbyanassessmentofthefocusgroupdiscussionsandtheelementsconcerningtraining.

Activities Responsibilities Timeliness Resources WSSCC StakeholdersFGDs Self Threemonths Trainer/Facilitator Learning Materials Staff

SchoolsTeachersASHAsANMsCBOs

Training Selfandstateleveltraining

One-year 1. Trainer2. Training Centre

1.TrainerHonoraria2. T.A.3.Communication

Asabove

MassMobilization Self Six-months Radio IECandotherlearningmaterials

Asabove

FGDS

No.ofvillages/slums

No.ofFGDS

No.ofparticipants

Training No.ofParticipants

No.ofTraining

Pre-andpost-assessment

Feedback

MassMobilization:No.ofreleasedprogramme



22

3 UttarPradeshNRHMPlan

Nameofmembers:Sultana Usmani Durgesh JanaradanRaghuvirSingh Shaista ShaliniPankaj Balram

NRHMteamU.P.

WorkplanActivities Responsibilities Timeliness Resources WSSCC StakeholdersStateAdvocacy StateNodal

Officer(Adolescenthealth-NRHM)

One-day(October)

UNICEF/NRHM WSSCC DPMUHealthICDSEducationalInstitutionWASH

DistrictAdvocacyTraining

DistrictManagement Unit NRHM

Three-days(December)

NRHM/UNICEF TechnicalSupport DevelopmentDepartment

Counsellingin35District

Asabove Asabove UNICEF WSSCC DHEIODPMDCMNGO

AdvocacyatBlock/Village/

DPMU/NGOs One-threedays(February2014)

Funds/Resources Asabove Govt.Girls’SchoolsHEONGOsANMAWWASHAs


23

4 UttarPradeshGovernmentPlan

U.P.workplan(govt)GROUP MEMBERS1-SultanaUsmani NRHM

2-RaghubirSingh [email protected] 8005193077 9412470894 NRHM3-Pankaj NRHM4-Durgesh NRHM

ACTIVITIES WITH TRAINING

IntersectoralconvergencemeetingatstatelevelICDS,Education,PRI,HealthWaterCorpn,MunicipalCorpn,WaterCorpn,NGO/devpartner,NYKState,distt,blockleveltotuptofrontlineworker

STATISTICAL DATA District -75Batchsize=30participants

AWW 165000ASHA 135000ANM 2250

COOPERATION 1-WSSCC2-UNICEF3-GovtDept4-NGO5-Stakeholder

RESOURCES Trainingtoolsincludingmodules

M&E StatelevelobservationwiththehelpofdistrictlevelNRHMstaffVisitbythestatelevelmastertrainer


24

5 MadhyaPradeshPlan

Nameofmembers:SabirIqbal–StateConsultant:[email protected]

SmtBhartiKuswahaCLTSMotivatorFacilitatorandTrainerDistrict:Guna

SanjuSharmaCLTSMotivatorFacilitatorandTrainerDistrict:Guna

SabirIqbalCommunication,MaterialDesignandTrainingSpecialist,StateConsultant,M.P.

Team

MHMalignmentwithWASH&healthtraining

CLTSMotivator JalaevamSwatchta Vibhag(TSC/PRD)

Village&Blockleveltraining Village&Blockleveltraining

ASHA,ANM,AWW,teacheretcatStateandDistrictleveltraining

SwatchtaDoot

(S.D.)


25

5 MadhyaPradeshPlan

Sanitationhygieneadvocacyandcommunicationstrategy,includingMHM

StateLevel

StateprogrammeOffice(SPO)-NBA

BlockLevel

CEO Zila Janpad

NBABlockCoordinator

GramPanchayatLevel

Swatchadoot

DistrictLevel

CEOZilaPanchayat

NBADistrictCoordinator

Reportandinformationflow

Instructionflow

Supportivesupervision&datavalidationafter6months

GPNodalOfficersupervision

Quarterlymeeting


26

Activity:Meetingwithtargetgroupintargetarea

n MHMawarenessprogramme

n Liaisingwithsahiya/aganwariworker/change-makerindifferentarea

n Liaisingwithprojectmanagementunits/departmentsothattheycanissueacircularonMHMprogressintheState

n MakemonthlyprogressreportsbasedonM&Ewithlocalindicators

n Linkagewithtraditionalbirthattendants/villagehead,especiallyintribalarea

Keystakeholders:

n Trainedworker

n Donoragency/projecthead

n Workinggroup

n Changeworkers

Duration:Oneyear(October13,2013–September14,2014)

Resource:Toolkits,stationary,displaymaterials,TA/refreshmentcosts

Corporationrequirement:WSSCCTeam/CCDUJharkhand/NGOshead/PMUJharkhand/WASHForum

Relatedstakeholder:Workers/Sahiya/AWW/community/healthdepartment/officials/PRI

6 JharkandStatePlan


27

Activity:

1. Communityawarenessandmobilisation

2. AdvocacyforMHMatstate/district/block/panchayat

3. Trainingatalllevels

a.Asondemandasatrainer

b.Ourprojectlevel

4. Listeningandcoordinationwithgovernment/community/school/etc.

5. Actionresearch

Responsibility:Aditi,Sakhi,government

Timeline:One-year

Resources:Governmentandotherfunders,materials(training),audio/video/resourceperson

Supportneeded:Government,policymakers,communityandotherchampions(WSSCC)

Stakeholders:Alllinedepartments/PRI/District/Block/Panchayat/VHSC/SHG/community/NGOs/womencooperative/VISWASHstatenetwork

Impact:

n IncreaseunderstandingaboutMHM

n Increaseparticipationatalllevels

Mostimportant

Behaviourchangeininterventionarea:

n 50%girlsandwomenusesanitarynapkins

n 50%girlsandwomentakecareofthemselves

n Increaseinhandwashingpractices

n Increaseinsafedisposal

n Casestudiesofbestpractices

n DecreaseinUTIcases

7 BiharPlan

Nameofmembers:Aditi [email protected] 9334750500Sakhi [email protected];[email protected] 9431021204

Interventionarea–Patna,Maner,Madhubani,BL–Jhanjharpur/Andhrathari


28

8 ChhattisgarhPlan

SL.NO.

ACTIVITY RESPONSIBLE TIME RESOURCES SUPPORTREQUIRED

RELATEDSTAKEHOLDERS

1. AdvocacyofDecisionMakers

CommunicationandCapacityDevelopmentUnit(CCDU)

By Jan 2014

Funds/Materials

ProtocoltypeofWaterSupplyandSanitationCollaborativeCouncil(WSSCC)

State Water andSanitationMission(SWSM)/DistrictWaterandSanitationMission(DWSM)

2. CapacityBuildingofMasterTrainers


ByMarch2014

Funds/Materials

ProtocoltypeofWaterSupplyandSanitationCollaborativeCouncil(WSSCC)

AssistantEngineer,ExecutiveEngineers&CoordinatorsofPublicHealthEngineerDepartments(PHE)

3. DevelopmentofTrainingModulesonMHM


ByFeb2014

Funds/Materials

ResourcepersonshouldbefromWaterSupplyandSanitationCollaborativeCouncil(WSSCC)

BlockResourceCoordinators/SwachhataDootfromPublicHealthEngineerDepartments(PHE)

4. IncorporationofincineratorsinSLWMPlanofGramPanchayat


ByDec2013

FundsflowfromSolidLiquidWasteManagement under Nirmal BharatAbhijan(NBA)


Village Water and SanitationCommittee(VWSC)/BlockWaterandSanitationCommittee(BWSC)/DistrictWaterandSanitationCommittee

5. IncorporationofIECactivitiesonMenstrualHygiene Management under Annual ImplementationPlan2014-15

DistrictWaterandSanitationCommittee(DWSC)

ByMarch2014

FundsUnderIEC under Nirmal BharatAbhijan(NBA)


DistrictWaterandSanitationCommittee(DWSC)

6. DevelopmentofIECmaterialsonMenstrualHygiene Management (MHM)


By April 2014

Funds ResourcepersonshouldbefromWaterSupplyandSanitationCollaborativeCouncil(WSSCC)

FrontLineWorker/BlockResourceCentre/SwachhataDoot

7. UseofRadioProgramme


By April 2014

Funds RadioSpot AdolescentGirlsandWomen

8. ConvergenceWorkshopatStateLevel


By April 2014

Funds UNICEF/WaterAid Health(NRHM)/Education/W&CD/RuralDevelopment/NGO


29

8 ChhattisgarhPlan

SL.NO.

ACTIVITY RESPONSIBLE TIME RESOURCES SUPPORTREQUIRED

RELATEDSTAKEHOLDERS

1. Advocacyofdecisionmakers

Carmdaksh ByNov2013

WaterAid Materials andtheirMHMwork

ProtocoltypeofWSSCC

Frontlineworker,SHG

2. CapacitybuildingofMasterTrainers

Carmdaksh Cont. Funds/Materials

ProtocoltypeofWSSCC

Carmdakshteam,frontlineworkervillageleader,CRP

3. DevelopmentoftrainingmodulesonMHM

Carmdaksh ByOct2013

Funds/Materials fromWaterAid

ResourcepersonshouldbefromCCDUand WSSCC

CarmdakshMHMTeam,frontlineworkervillageleader,CRP

4. DevelopmentofmaterialsforMHMprogramme

Carmdaksh Cont. FundsfromWaterAid and NEEDS

ResourcematerialshouldbefromWaterAid and WSSCC

AdolescentgirlsandSHGwomen,withaspecialfocusonmen

5. Useofdocumentaryprogramme

Carmdaksh ByFeb2014

Fundsrequired

Radiospot Adolescentgirls,womenandmen

WorkplanforimplementationonMHMProgramme09893114529(DeepNarayanBennergi–[email protected])

State:Chattisgarh

Organization:Carmdaksh(NGO)andLokShaktiSmajsewaSanstha

CarmdakshworksonanMHMprojectinpartnershipwithWaterAid.TheirinterventionareasareBilaspurDistrtict,RaigarghandKorbainCG,wheretheyfocuson28villages,21schoolsand6,500householdsatPaliblock,butneedadditionalsupporttomakeimprovementsinotherareas.

WATER SUPPLY AND SANITATION COLLABORATIVE COUNCIL 15 Chemin Louis-Dunant1202 GenevaSwitzerland

Telephone: +41 22 560 8181 Fax: +41 22 560 [email protected]

TheWaterSupplyandSanitationCollaborativeCouncil(WSSCC)The Water Supply and Sanitation Collaborative Council (WSSCC) is a global multi-stakeholder partnership and membership organization that works to save lives and improve livelihoods. It does so by enhancing collaboration among sector agencies and professionals who are working to improve access for the 2.5 billion people without safe sanitation and the 780 million people without clean drinking water. Through its work, WSSCC contributes to the broader goals of poverty eradication, health and environmental improvement, gender equality and long-term social and economic development. WSSCC supports coalitions in around 20 countries, members in more than 160 countries, and a Geneva-based Secretariat hosted by the United Nations Office for Project Services (UNOPS).

TheIndianInstituteofPublicAdministrationThe Indian Institute of Public Administration (IIPA) is a premier public policy school for public administration studies and one of the major social science resources in India. Since its inception in 1954, the IIPA has been at the forefront of academic work that has contributed to enhancing the managerial and leadership qualities of executives, policymakers and public officials in India. Enhancing leadership and managerial qualities on the one hand and developing a service-orientation on the other are the thrust areas of the Institute’s education and training activities. A key product of the IIPA is the internationally known ‘Indian Journal of Public Administration’ which has been published since 1955. IIPA has published over 400 books, monographs and reports. The current President of the IIPA is the Vice President of the Republic of India, Mohammad Hamid Ansari. For more information on the IIPA, go to http://www.iipa.org.in/index.html.

Documents

MENSTRUAL HYGIENE MANAGEMENT...do not explicitly mention menstrual hygiene there is a provision for piped water to households, which would help improve hygiene across the board. He