National Project Implementation Plan - NVBDCP
National Project Implementation Plan - NVBDCP
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 />
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