Several studies have revealed that in the hills, women are heavily overworked. They work even  for 16 hours a day, physically demanding tasks fall heavy on them  such as collecting fuel wood and fodder from distant forests and fetching drinking water. This is compounded by the fact that they live on a low calorie diet.They have limited access to hospitals during pregnancy and for delivery of the child.

All these seriously affect the health of the mothers and their children. The women become anemic leading to more incidences of diseases.

On the average family earnings are barely sufficient for a quality living. The children are malnourished, and have to bear with poor education facilities.

It is in this context reproductive and child health programmes assume great importance in the context of Uttarakhand. PJKS implemented women and child health and population control programmes in the selected blocks of state with the support from organisations like SIFPSA funded by USAID(1997-2000), SIMAVI Netherland(2005-2009) and Govt. of India(2010). The main objectives of the programme were:

  • To provide information on reproductive health to the eligible couples and adolescents.
  • To educate eligible couples to choose family planning methods best suited to their requirements.
  • To generate awareness amongst rural women about the optimum age for child bearing, healthy motherhood and childhood.

First Initiative – 1995 to 1997 as “Women Awareness Balwari Program” supported by IGSSS (Indo Global Social Service Society)

  • Total 20 Balwaries established in 20 project villages in Bhilangana block of Tehri Garhwal.
  • Awareness drives, capacity building program, Health Check-up camps were organized in all project villages.
  • Total 198 children were admitted to Balwaries established in project
  • 333 pregnant women taken benefit of nutritious meal provided at the Balwaries.

Second Initiative – 1997 to 2003 as “Population Control Measures for Family Health through Mass Awareness & health service at doorstep” funded by SIFPSA.

  • As a result of this initiative 64 village Dais were trained in safe & clean home delivery practices.
  • Contraceptive prevalence rate (CPR) has been increased to 39%, which was recorded 28.40% in the baseline survey.
  • Increase in condoms users had been recorded to 352, which was zero at the beginning of the project.
  • Increase in contraceptive pill users increased to 601 to its earlier zero in the beginning of the project.
  • 12 women in the project area were applied with the Cooper T method.

Third Initiative – 2003 to 2008 as “Training and awareness in Health Matters for Rural hill women” funded by SIMAVI Netherlands.

  • The initiative has benefited around 800 women & about 2000 children directly and entire families were indirect beneficiaries.
  • In 55 % villages the VHSND were being organised as per the schedule.
  • The MMR in the project area has gone down by 42%.
  • The IMR in the project area has reduced by 38%.
  • There is an increased sense of duty amongst 45 % ASHA, ANM and AWW.

The fourth venture for RCH begun with a central Government & State Government funded project on RCH through mother NGO.

  • As a result of RCH program CPR has been increased to 39%, which was recorded 16.5% in the baseline survey.
  • Increase in condoms users had been recorded to 517, which was 86 at the beginning of the project.
  • Contraceptive pill users increased to 389 to its earlier 41 in the beginning of the project.
  • 36 women in the project area were applied with the Cooper T method.
  • Total 89 Tubal Ligation performed & 579 women were covered under TT vaccination programme in the three year programme.
  • Reduction in the occurrence of communicable diseases viz. RTI & STI etc.

PJKS is conscious of urgency of Health care in Hills of Uttarakhand and is not loosing any opportunity to work in this sector through short term intervention like Health camps & distribution of relevant literature.