In the present scenario ASHAs play a vital role in providing health services at the grass root level. In this contest BASK has implemented Thematic training program among the ASHAs in a Public Private Partnership model through Dept. of Health & Family Welfare supported by National Rural Health Mission,Nuapada as PNGO in Komna and Nuapada block of Nuapada District in the year 2008-2010. As a result 185no’s of ASHA has been trained regarding their role, responsibility & strengthened their managerial ability by the initiative of Health sector staff within the organization. In the process, created awareness and education level of mother while taking care of the newborn at home using simple home-based care such as cleaning the newborn and wrapping the newborn in clean towels, some basic technical knowledge in identifying signs of complications like acute respiratory problems, diarrhea management through Oral Dehydration (ORS) and home-base management of common newborn illness etc. Their effort was significant in this context.

BASK has been implementing Chin Project at komna block of Nuapada district by the supports of Christian medical Association of India (CMAI) from 2010-2013 to improve the availability of and access to quality health care by people, especially for those residing in rural areas, the poor, women and children. The project contributed a lot in the program areas by strengthening the formation of village-based plans which has helped inspiring and influencing the community and project staff. Over the project implementation period, the PIA has created massive awareness among the communities on their NRHM entitlements and ways of accessing quality services using communication strategy that worked towards informing communities about adopting positive health practices at household level on the one hand, and the need for service providers to understand the requirements of the communities. Organized capacity building of Health Cadres, frontline staffs, and community based organizations, in health communications using communication for social change tools. The CFA tool has strengthened the capacity of individuals, communities and organizations and adopted a strategic approach for advocacy initiatives for health rights and entitlements of rural communities. At present, the voices are heard by the traditionally silenced groups/communities. Our overall impression is that the project has helped improve public health outcomes by improving the access to, and quality of, the public health system through mobilizing of communities and increasing their awareness of their entitlements.

Facilitating village institutions and developing their capacities on various aspects is the key implementation strategy. Right from the inception of the project implementation much emphasis paid to develop the capacities of the partner community. Capacity building is done at two levels, first to develop the institutional base of the communities in each village institutions in the form of village and Panchayt level are developed and they are capacitated to take appropriate measures for efficient use of their natural resources and develop democratic values at the community level. Secondly, technical capacities are developed in terms of improved Health behavior, efficient water and resource utilization and participatory management. In this contest BASK has been implementing Capacity Building & handholding support to Gaon Kalyan Samitte(GKS) at komna block of Nuapada district by the supports of ZSS/NRHM and CARE,India in the year 2011 to facilitating village institutions and developing their capacities on various aspects is the key implementation strategy. As a result 616 no’s of core members (4 member from each GKS) has been sensitized regarding their role& responsibility, Preparation of Health plan, Fund flow & utilization as well as the entire functional aspect of GKS..

Vulnerable communities residing in remote & inaccessible pockets are underserved due to problems of geographical access, and those who suffer social and economic disadvantages such as Scheduled Castes/Scheduled Tribes (SCs/STs) and the urban poor. The RCH indicators for vulnerable population are worse than the District/ State average. Marginalization results in poorer social indicators for these groups, including maternal and child health indicators. This can be as much a result of service provider behavior as of health seeking behavior and capabilities. NRHM, H & FW Deptt. Govt of Orissa has taken initiatives to address the Health/RCH issues of those area with focus attention on strengthen capacity, effectiveness and participation of civil society, with specific recommendations of District health authority and other stakeholders. This concept of RCH is to provide to the beneficiaries need based, client centered, demand driven, high quality and integrated RCH services. .

The rural poor especially women have been organized into self-help groups (SHGs) in large numbers. In the proposed project area with an average group size of 12-15 members and most of the SHG members are from region characterized by high level of poverty, low levels of agricultural surpluses and underdeveloped infrastructure. Other major constraints are illiteracy and low levels of entrepreneurial skills. In this contest BASK was privileged to undertake NABARD supported Micro Enterprise Development Program (MEDP) for the members of matured women SHGs from Komna block of Nuapada district. The program has been carried out in Nuapada district to promote capacity building of farm women and create more employment opportunities through introduction of commercial mushroom cultivation and market linkage with an emphasis on the overall development aspects. .

Keeping in view the burning problem of unemployment, State Employment Mission is conducting various Skill Development Training Program with a view to create Employment / Wage Employment / Self Employment opportunities for the youth of the State. As a part of New Initiative, State Employment Mission has launched a new Placement Linked Training Program in a PPP mode. As part of capacity building program, the Placement Linkage Training program under Business Process Outsourcing (BPO) for unemployed Youth was organized by Banjari Akshyam Seva Kendra (BASK) with the supports of TEAM-LEASE, Bhubaneswar & in collaboration with OSEM, odisha. BASK drive towards expanding employment and employability of the youth of the area has borne fruit, with groups of trained boys. BASK trained 85 rural youth from Nuapada district with ICT skills and, who are now well-versed in data entry work and now the trained youth are working in VARDHAMAN YARNS, Bhopal. .

The Government of India in April 2005 has launched the NRHM to improve access of people, especially the poor women and children to quality primary health care services. Accredited Social Health Activist (ASHA) is a major strategic intervention under the mission for the 10 high focus States including Orissa. ASHA is envisaged as a trained women community health volunteer who will reinforce community action for universal immunization, safe delivery, new born care, prevention of water borne and communicable disease, improved nutrition and promotion of household toilets. There will be one ASHA per 1000 population. In tribal, hilly, desert areas, their norm could be relaxed to one ASHA per habitation, depending on work load etc. ASHAs are to be selected by the community, from among the residents within the community. She is to work in close coordination with AWW and ANM and these will be integrating in their roles with use of common resource facilities like AWW centre etc. Capacity building of ASHAs is critical in enhancing her effectiveness and this has been seen as a continuous process. The Round-4 training of ASHAs on 6th & 7th Module would be completed in 5 days with a training modules based on thematic approach have been developed. For this purpose the States have constituted the District Level Trainer (DLT) teams and they are providing training to ASHAs. As part of capacity building program, during the reporting year our organization has organized theInduction Training, HBNC (1st/2nd/3rd Round),Interpersonal Communication(IPC)& Special category, as a District training Site. Zilla Swasthya Samitte and National Health Mission,Nuapada provided its financial and technical supports for smooth conducting of this program.As a result during the financial year 1027 no’s of ASHA has trained from different espect of the capacity building training program.

Disability in its varied form is very much found in ourcommunity. But when it is a matter with children – i.e.the innocent & pious heart – our responsibility ofattending them & mainstreaming them with properesteem is much more. As a regular feature of its ongoing action our organization has organized various program on welfare & development of disabled children been taken up. In fact, since concerned children belong to traditional agrarian families with lower education and economic standing, the organization was bound to handle that job creatively making complementary and integrated approach in fields of education, recreation and health care. Moral support and Educational Service extended to 102 Nos. of disabled children of different ages (5 years to 14 years of age) is one of the acclaimed activities of BASK since 2001 which is undertaken not as a task but as a social responsibility to the children who are deprived of their basic human rights either due to their state of disability or due to abject poverty of their family. This continuous support to children providing them an enabling environment of remaining in a residential school – may be of very miniature stature but obviously a naïve and positive approach towards safeguarding and promoting their human rights with due recognition of their inner best.

BASK has implemented Reproductive and Child Health program in a Public Private Partnership model through Dept. of Health & Family Welfare supported by National Rural Health Mission as field NGO in Komna block of Nuapada District in the year 2007-2010. RCH-II program is intervened in Sunabeda and Rajana sub-centres. In these underserved areas of Komna block covering 3800 households in 22 villages. RCH-II program is an innovative strategy of Govt. of India under NRHM to attain control on various factors on mother and child health. Keeping in view the Community Participation in health care and provision of low cost & accessible health services BASK initiated Health Service and Counseling Center to provide them generic medicine at their door step. BASK has established Community based Medicine Points managed by the trained ASHA in remote areas of the operational areas.