Designing Healthier Urban Environments for a Healthier Urban World November 7, 2012 Sandra Plaza
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Society for Nutrition, Education & Health Action Vision: To create a sustainable, replicable and community owned platform that works towards change/transformation of behavior and culture and hereby empowers communities to attain better health, education and livelihood
SNEHA Project Overview
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Society for Nutrition, Education & Health Action Project Purpose: To introduce a business model that will act as a social enterprise integrating existing SNEHA services and programs and offering newly paid services that will subsidize the costs to operate this community centre
SNEHA Project Overview
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Prevention of Violence Against Women and Children
Child Health and Nutrition
Sexual and Reproductive Health
Maternal and Newborn Health
SNEHA Project Overview
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PVWC • Offer counseling services for survivors of rape, sexual assault and child sexual abuse, women with disabilities and sex workers, and women suffering from mental illnesses • Offer legal counseling • Train staff of police and hospitals on how to properly address violence
SRH • Empower adolescents 11‐19 yrs. to make informed decisions about their health • Offer education sessions on a skill or vocation that can make them economically self‐reliant • Offer family planning through doorstep awareness, delivery of contraceptives and referral services
SNEHA Project Overview
CHN • Provide Day Care Centres for Malnourished Children 0 – 3 years • Administer Medical Nutrition Therapy (MNT) • Offer Home Based Care and Nutrition Counseling
MNH • Ensure availability of antenatal clinics at health posts • Set up referral links for hospitals and maternity homes • Mentally prepare women in any case of emergency during deliver of their baby through birth preparedness counseling
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MUMBAI Most populous city in India Population: 20.5 million people Fourth largest city in the world Capital of Maharashtra Financial capital of India The wealthiest city in India Melting pot of many communities and cultures Home for the world's largest film industry‐ Bollywood
Mumbai Overview
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N Ward Profile • 700,149 (MCGM 2007) • 486,187 Slum Dwellers (69.4%) • Average Income Rs. 50‐150/day • Men work in small scale industries, rickshaw drivers • Women work as housewives • Migrants come from UP, Bihar, Gujarat & Tamil Nadu • Religions: Hinduism, Islam, Buddhism • Over 75 CBOs, NGO’s, Self Help Groups, Neighborhood Committees and Youth Groups
Basis for Selection • SNEHA Presence (5+ Years) • Economic Strength • Education Awareness (AGG Program/1500 boys and girls) SNEHA Project Overview: Vikhroli Parksite
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Program Directors Recommendations • Emphasis placed working with youth • Offer packaged paid services • Focus on education • Partner with other NGO’s • Provide vocational courses • Offer social work courses • Offer classes in theatre, arts and dance
SNEHA Project Overview: Vikhroli Parksite
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Conducted Community Site Visits
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Met with Program Officers, Community Organizers and Program Directors
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Conducted Facilitator’s Workshop
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Key Issues in the Community Physical and Environmental • Limited Water Access • Areas located on a hill slope • Community toilets not maintained • Improper roads, no street lights • Open drainage • Irregular pick up of rubbish • No nearby health facilities or police stations
SNEHA Project Overview: Vikhroli Parksite
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Key Issues in the Community Social Impact • Community conflicts • Thefts can be reduced if youth are employed • Lack of quality education • Women face marital harassment • Alcohol, drug and tobacco abuse • Unemployment • Girls marry at a young age
SNEHA Project Overview: Vikhroli Parksite
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Facilitator’s Aspirations • Centrally located • Information is easily accessible • Activities which bring the community together • A place that generates livelihoods • Offers career guidance to adolescents and youth • Offers services for cleanliness of their communities •Becomes the main point of contact
SNEHA Project Overview: Facilitators Workshop
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Health Crèche Child Nutrition / Health Checkup / Early Childhood education Maternal Child Health
Education
Livelihood
Life Skills Education for Adolescence
Income generation activities e.g. Jute bag, Paper bag making, Tiffin making
Tuition Class
Birth Preparedness Complication Readiness Health Camp
English Speaking cum Personality Development Class
Health Awareness
Other activities Dance Class
Theater Group Vocational Courses Mobile repairing, Electrician, House keeping, Retail Marketing Training, Beautician course
DTP
Health Insurance Study Centre
Job Reference
Contraceptive Distribution Community BPO
Clean Water Computer Training Sanitation
Integration of health, education, livelihoods and other activities
Insurance
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HEALTH EDUCATION
Paid Services
LIVELIHOODS
Free Services
WATER SANITATION
Designing services which are engaging and inviting
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MARKET RESEARCH • What is our catchment area? • What service does the community desire? • Where can we deliver these services from? • How much is the community willing to pay for new services? • What is the going market rate to deliver services such as vocational courses, english speaking, computer training, dance, etc.? • Who is the target group? • How often should each service be offered into the community, every day, once a week, once a month, etc.?
Community Questions
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MARKET RESEARCH EXAMPLE Creche • Is there a need for a crèche in the community? • How many children will this support and what age group? • How often will we run medical screenings, once a week, once a month? Factor in costs of a pediatrician, can we get free medicine? • What is the market rate for a crèche • Are there other crèche's in the community? • What is the community willing to pay for
Community Research
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SNEHA Project Overview: Vikhroli Parksite
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SNEHA Project Overview: Vikhroli Parksite – Walkthrough with funders
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Spoke with adolescents who have participated in SNEHA’s programs
Hill side slope makes it difficult for those living up at top to access services at the bottom of the hill
SNEHA Project Overview: Vikhroli Parksite
This is a community space that is owned by a CBO, rented out by SNEHA 2 hours a day to work with adolescents
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View from top of the hill Limited water access, difficult for those to access services at the bottom of the hill
SNEHA Project Overview: Vikhroli Parksite
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Top of the hill Limited water access, difficult for those to access services at the bottom of the hill
SNEHA Project Overview: Vikhroli Parksite
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Bottom of the hill Accessibility to shops, schools, clinics, markets and street life
SNEHA Project Overview: Vikhroli Parksite
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Slum Rehabilitation Scheme Transient Housing for Slum Dwellers
SNEHA Project Overview: Vikhroli Parksite
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Mapping Exercise Example X
Legend X
X
Site Location Catchment Area
X X
Existing Services
X
Moving Forward Community Assessment • Identify needs of the community • Map out potential site locations where services can be delivered • Map out existing services in the community and conduct market research • Conduct surveys and ask how much families are willing to pay for new services • Host Community Workshops and identify aspirations for a new community center
X
SNEHA Project Overview: Vikhroli Parksite
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Thank You Contact: Sandra Plaza Sandra.plaza@d‐impact.org www.d‐impact.org
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