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National Project Implementation Plan - NVBDCP

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Social Devpt. and<br />

BCC Consultants<br />

above)<br />

15.6 Action <strong>Plan</strong><br />

As most of the project areas (“high prevalence areas”) are tribal or backward,<br />

and many of its intended beneficiaries are tribal or other vulnerable people, its<br />

intervention strategies are designed to address the constraints faced in these<br />

areas and by these people in prevention, diagnosis and treatment of malaria<br />

and/or kala-azar. The strategies include supply-side improvements; increasing<br />

access according to need; communication for demand-generation, informed<br />

decision-making and improved practices; socio-culturally appropriate and<br />

gender-sensitive planning and implementation; and monitoring by dedicated<br />

VBD experts and Social Development specialists.28 Table 3 shows those<br />

activities in the project that would ensure that vulnerable communities receive<br />

maximum benefits and that VBDs are reduced among them in the form of a<br />

‘step-by-step’ Action <strong>Plan</strong>. As a guide to implementation, it shows the action,<br />

where it would primarily take place, the persons who would be chiefly<br />

responsible for its implementation, and a likely timing or frequency of action.<br />

Thus, the ‘Vulnerable Communities’ <strong>Plan</strong>’ (VCP) is integral to the <strong>Project</strong>’s<br />

overall implementation, and is part of the GOI’s <strong>Project</strong> <strong>Implementation</strong> <strong>Plan</strong><br />

(PIP) and forthcoming Operational Manual. It would be implemented in all<br />

project districts in keeping with the <strong>Project</strong>’s planned phasing, as needed and<br />

feasible.<br />

The VCP will also guide Bank project supervision, and includes the indicators<br />

that would be used when feasible to assess implementation effectiveness for<br />

vulnerable communities. Data providing information on project outputs and<br />

outcomes for tribal and other vulnerable groups (including women and<br />

children) will be generated initially from routine program monitoring, project<br />

reports and surveys. Over time better data are expected to become available<br />

28 . The consultations at the client and sub-district levels of the health system would focus on<br />

whether the program is reaching vulnerable groups, and cover all aspects of service delivery<br />

related to this project, including the cultural acceptability of interventions, BCC activities and<br />

grievance redressal mechanisms. In kala-azar areas they will also include discussions of the village<br />

environment, hygiene in homes, cattle-sheds, etc. At district level and above, the consultations<br />

would focus on whether tribal people and the most backward areas are receiving due attention in<br />

all aspects of program planning, management and implementation, including capacity-building and<br />

monitoring of private providers; and monitoring by Panchayats. Any issues arising will be<br />

investigated and addressed, and ‘Action Taken Reports’ presented at the next consulta<br />

167

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