Handbook for Field NGOs An almanac for Managers, Supervisors and Field Workers Reproductive and Child Health Programme Phase II Apex Resource Cell, NGO Division Ministry of Health and Family Welfare Government of India February 2007 i ii iii Table of contents Message ….. i Preface ….. ii Acknowledgements ….. iii Table of contents ….. iv List of Abbreviations ….. v How to use the Handbook ….. vi Section 1 – Managers and Supervisors Introduction ….. 1 The FNGO Team, roles and responsibilities ….. 1 Supportive Supervision ….. 3 Administration and Financial Management ….. 4 Monitoring and Evaluation ….. 8 Section 2 – Field Workers Introduction ….. 10 Roles and Responsibilities ….. 10 Planning for field work ….. 12 Communication and Counseling ….. 14 Working with groups ….. 17 Monitoring and Reporting ….. 19 Section 3 - Facilitating Service Delivery Introduction ….. 22 Care of a pregnant woman ….. 22 Birth Preparedness and Complication Readiness ….. 26 Post delivery care ….. 29 Newborn and Infant Care ….. 31 Working with adolescent population ….. 36 Facilitating Family Planning services ….. 41 Raising awareness about RTIs/STIs ….. 41 HIV/AIDS among men, women and adolescent groups ….. 43 References ….. 44 Annexures MNGO Monitoring Register FNGO Monitoring Register Field Worker Register Immunization Register Microplan exercise for a FNGO iv Abbreviations AIDS Acquired Immunodeficiency Syndrome ANC Ante Natal Care ANM Auxiliary Nurse Midwife APL Above Poverty line AWW Anganwadi Worker BPL Below Poverty Line FNGO Field NGO GOI Government of India HIV Human Immunodeficiency Virus ICDS Integrated Child Development Services JSY Janani Suraksha Yojana LHV Lady Health Visitor MNGO Mother NGO NGO Non-government Organization PHC Primary Health Centre RCH Reproductive Child Health RRC Regional Resource Centre RTI Reproductive Tract Infections STI Sexually Transmitted Infections v How to use the Handbook The handbook for Field Non Government Organizations (FNGOs) is designed for use by the MNGOs as a reference guide to train FNGO staff in issues pertaining to program management and facilitating service delivery. In addition the FNGOs Coordinator/ Supervisor and field workers can also use this as a reference handbook. This handbook explains in detail the basic concepts of program management, and the steps for carrying out activities in the field. These are related to the roles of the coordinator, supervisor and the field worker. It is divided into three parts- Section 1 has been designed for Managers and Supervisors keeping in mind their roles and responsibilities, Section 2 focuses on the Field Workers while in Section 3 – the various aspects of Reproductive and Child Health have been explained in detail keeping in mind the field workers. Suggested uses of the FNGO Handbook are: • As a training guide for the workers • As a reference tool for Managers and supervisors • For developing communication materials • To communicate with village women who are peer educators vi Section 1 – Managers and Supervisors 1. Introduction Under the MNGO Scheme, FNGOs are responsible for implementation of RCH program in underserved and unnerved areas in the districts. A team consisting of Project Coordinator, 2 field staff (supervisor and field worker or 2 field workers) 1 part-time accountant will ably perform this task. The capacity of this team is to be built by the MNGOs. To a large extent, the implementation of FNGO projects will depend on the team’s knowledge, skills, enthusiasm, dedication and the support they receive from their MNGOs and block authorities. For many of the Coordinators and Supervisors working on reproductive health issues this might be a first time experience. In order to maintain uniformity across the board in terms of: project implementation and its monitoring it is necessary that the MNGO build the capacity of the FNGO Coordinators and Supervisors, using the handbook. The contents of this section have been developed keeping in mind the basic requirements of the Managers and Supervisors for enhancing knowledge and developing their skills in leadership, supervision, financial and administrative management and monitoring and evaluation. They are also free to use other training materials and visual aids while conducting training programs. The FNGO Coordinators and Supervisors should use this handbook as reference and for training their field workers. 2. The FNGO Team, roles and responsibilities The FNGO Team Members In most cases the FNGO team will consist of a Project Coordinator/Supervisor and 2-3 field level workers. Given below are some suggested qualifications, work experiences for selection of Program Coordinators/Supervisors and Field Workers and their roles and responsibilities. The proposed staffing pattern may vary from state to state. Program Coordinator/Supervisor Qualifications: Graduate in social work, home science, sociology, medical social work with 3 years experience in RCH program. Ability and knowledge of computers (MS Office, Internet) Experience: Previous experience of working with NGO Sector in women’s health, Integrated Child Development Services (ICDS) program, adolescent program at block and community level for 3-5 years. Competencies: Ability to be work in a team, Good written and spoken communication skills in local language and English. Capable of handling overall project and establish liaison and networking with Government and other stakeholders. Willing to travel extensively within district and block. Willing to learn and work as a team member. 1 Handbook for Field NGOs Roles and responsibilities of the FNGO Coordinator/Supervisor The FNGO Coordinator has the following roles and responsibilities: 1. As a team leader – lead the team and support them in the decisions taken for project implementation 2. Work with the team members to guide and mentor them on different aspects of the project 3. Coordination and networking with Block and District level health officials for developing an action plan for providing services in their field area 4. Ensure that the team members’ capacity is built through trainings/ exposure visits etc. that will be mainly conducted by the MNGOs. 5. Review with supervisor monthly and quarterly reports received from field workers and provide feedback 6. Submission of monthly and quarterly progress reports to the MNGO and the District officials 7. Submission of quarterly statement of Expenditure (SOEs) to the MNGO 8. Support and supervise work of the field workers 9. Train the field workers in planning and organizing work, community mobilization, developing village health plans, other RCH issues 10. Hold periodic meetings with village leaders on project progress 11. Advocacy with community leaders on the program and necessary support to field workers The responsibilities include proper and timely implementation of project followed by periodic monitoring; Ensure good coordination and networking with the government officials, panchayat members; problem solving and supportive supervision for any necessary action; timely submission of monitoring reports to the MNGO and the Block health officials. Ensure that the FNGO staff undergoes periodic trainings. Field Workers Qualifications: Minimum requirement is 8th class pass. Experience: working with women groups in health or related program, interested in working with women and children, adolescent population. Other qualities- She should be preferably daughter-in-law of the village, resident of near by villages, willing to devote 2-3 hours per day to the project work. Good communication skills – both written and spoken. Pleasant manners and accepted by the women groups. 2 Handbook for Field NGOs
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