Annual Report Young Health Programme India...Annual Report Young Health Programme India Page 4 of 26 The project began in January 2016 with a workshop involving all partners. This

Annual Report Young Health Programme India

Page 1 of 26


Page 2 of 26

AFHC Adolescent Friendly Health Centre

CSG Community Stakeholder Group

DFI Diabetes Foundation of India

HIC Health Information Centre

ICDS Integrated Child Development Services

NCD Non-Communicable Disease

NDLM National Digital Literacy Mission

NGO Non-Governmental Organisation

PRA Participatory Rural Appraisal

PRB Population Research Bureau

YHP Young Health Programme


Page 3 of 26

The Young Health Programme (YHP) is tackling the significant threat

of non-communicable diseases (NCDs) by aiming to reduce the

practice of associated risk behaviours such as harmful use of alcohol,

use of tobacco, poor eating habits and inactive lifestyles, and also

addressing behaviours which jeopardise young people’s sexual and

reproductive health. The programme will engage strategies including

youth empowerment through peer education, community mobilisation,

health service strengthening and local advocacy.

The new phase of the YHP is building on existing learning to expand

into a new cluster of marginalised communities across the North West

District of Delhi, targeting vulnerable young people aged 10-24 years.

In this phase we will focus our attention on other areas where there is

huge need and high prevalence of risk behaviours.

The Overall Goal of the project is to contribute to the improved health and well-being of girls and boys

between 10-24 years of age in India.

Specifically, it aims to achieve this by ensuring that adolescent girls and boys in North West District in Delhi

are practicing fewer risk behaviours due to an increased capacity to make informed choices about their

health, in the context of improved health services, an enabling support system and policy environment.

Result 1: Build the knowledge and capacity of young people (boys and girls aged 10-24) on limiting

risk behaviours, enabling them to protect and promote their long-term health

Result 2: Raise awareness and mobilize communities to create a safe and supportive environment

that facilitates healthy behaviour among young people

Result 3: Improve access to and quality of youth-friendly services that support the health of young

people

Result 4: Strengthen the implementation of policies and laws that support prevention of risk

behaviours among young people

A results framework is provided in the appendix of this report.

For this new phase of the YHP in India the focus of the project has moved to communities in North West Delhi. Building on the success and learning from phase one and two, Plan India has worked hard to establish the necessary people and infrastructure for the new phase (including staff recruitment and partner agreements). We have begun to build relationships with communities, something which will prove fundamental to project delivery over the coming years. For example, rather than following the model of a traditional launch, our start-up event saw young people move door-to-door in a mass campaign to raise awareness and build new relationships.


Page 4 of 26

The project began in January 2016 with a workshop involving all partners. This was two months after the

original planned start date of November 2015, due to the time taken in closing phase three of the project

(including completing a final evaluation) and in establishing the new reporting and financial arrangements.

Hence, this report details activity and expenditure for nine months (January to September). Furthermore,

we experienced some delays to the implementation over the summer months, when a widespread outbreak

of fever gripped Delhi and affected vast sections of the population including most of the staff on the project.

These delays impacted the collection of data for the baseline survey, with a knock on effect for the

development of peer educator training materials and training of the peer educators. For these reasons, in

the nine months up to the end of September we had spent about 49% of the year one budget (based on 12

a month budget).

Despite this, we have made significant progress – from establishing Health Information Centres (with

membership now in the thousands) to running mass awareness campaigns. Peer educators from phase

two have supported the project and enabled us to run hundreds of activities, sessions, events and

workshops. The baseline survey is now being prepared for publication and the peer educator materials

have been drafted – enabling us to begin training in the New Year. We expect to catch up on activities over

the course of year two.

Project initiation

The project began in January 2016 with a range of start-up activities. Details of these activities were

presented in the start-up report in June, including:

Staff recruitment – new and existing staff were recruited to the YHP both at Plan India and with

implementing partners Navshrishti and Dr A V Baliga Trust

Start-up workshop – a five day start-up workshop took place in Delhi at the end of January 2016

involving Plan India, Plan International UK, the two implementing partners and AstraZeneca employees

Results framework – during the start-up workshop the team developed a results framework with output

and outcome indicators which can be used to track the progress of the project during the five year

period

Launch activities – phase three of the YHP was officially launched by Plan India and the implementing

partners in May, involving 1,000 young people in a massive door-to-door awareness campaign

Key activities

We conducted an extensive Participatory Rural Appraisal of the new project areas in order to map

and understand the communities that we will be working with and the influences and pressures that

they face in relation to young health

Building on phase two, we have begun to establish relationships with key stakeholders such as local

Government, teachers, community members, policy makers and health workers in order to support the

activities and objectives of the project

We established eight Health Information Centres – fully equipped with sports and activity equipment,

libraries, and a programme of workshops to help inform and support young people about health issues

We have successfully run or had involvement with many mass events to raise awareness of the project

and the issue of young health – such as International Women’s Day and International Youth Day

We conducted a thorough baseline assessment in order to understand the current knowledge, attitudes

and practices of young people in the project areas, which will be used to inform our approach


Page 5 of 26

Reach

2,290 young people were registered at Health Information Centres (HICs)

We ran activity sessions at HICs which received more than 4,600 attendances by those registered

305 new peer educators were selected to take part in YHP phase three

Our launch event engaged 1,043 young people in a mass campaign to spread awareness of the YHP

throughout communities by reaching out to around 25,000 individual households

Around 6,000 people learnt about the YHP programme and the issue of young health via mass

attendance events such as street plays and international awareness days


Page 6 of 26

The objective of the baseline assessment was to collect detailed baseline data on all project indicators, which have been established by the YHP team, to enable changes to be measured over the course of the five year intervention. We appointed Foresight Research and Consulting to conduct the research in the five project areas using a mix of quantitative and qualitative methods, including structured interviews and focus group discussions. A total of 450 interviews were conducted with young people, in addition to interviews with parents, local health workers, teachers, and community representatives. Key findings include:

During the assessment it has been found that only 63% of youth are aware about the health

facilities available in their areas. The data reveals that awareness about the services still needs to

be strengthened and appropriate health seeking behaviour needs to be promoted

Young people’s knowledge of non-communicable diseases is varied. Most young people have basic

awareness of cancer (82.7%); followed by diabetes (80.0%); heart diseases (61.0%); thyroid

(57.0%); hypertension (56%); asthma (56.0%); chronic lung diseases (36.7%)

19% of females have heard about STIs as compared to 53% of males. The stark difference is seen

when asked whether unprotected sex can lead to STIs; only 5.3% of females responded correctly in

comparison to 86.8% of males

The data revealed that 10.2% of young people eat junk food/fast food on daily basis, 29.4% of them

eat junk food/fast food at least 2-3 times in a week, 25% of them eat it once a week, 8.7% of them it

eat twice in a month, and 20.8% rarely eat junk food/fast food

The study found that 77% of young men are aware of people who are addicted to substances

(including tobacco, alcohol, drugs and medication) while 60.4% young women reported that they are

aware of people who are addicted to substances

Key recommendations include:

Focus on gender: The assessment highlighted a gender gap in the knowledge, attitudes and practices of young men and women. The YHP needs to have a special focus on girls during five years of programme cycle so that girls and women can come into the mainstream of the society and move towards equality

Bridging the intergenerational gap: Parents should also be involved in the discussion to address and bridge the intergenerational gap that exists in the community especially with reference to sensitive issues like adolescent growth and development

Adolescent Friendly Health Centres (AFHCs): The awareness of AFHCs among adolescents and youth is low even in communities that are located close to the AFHCs underscore the need for communication activities to publicise these facilities

Looking into the wide knowledge gap between girls and boys on sexuality and growth and development issues of the same and opposite sex, the YHP programme should focus on imparting knowledge to youth on sexuality – including awareness of different sexual orientations and preferences in order to overcome their myths and misconceptions

The program needs to increase awareness about ill effects of alcohol and tobacco use. The programme should have a strong functional relationship with rehabilitation centres so that adequate psychosocial counselling and treatment can be provided by experts

The YHP needs to work holistically with the entire social environment including peers, family, school teachers and the community at large to address the issue

The use of social media to increase sexual health knowledge should be considered, based on the growing use amongst adolescents. The YHP team can play a significant role in carrying need based Behaviour Change Communication activities including social media


Page 7 of 26

Result 1: Build the knowledge and capacity of young people (boys and girls aged 10-24) on

limiting risk behaviours, enabling them to protect and promote their long-term health

Health Information Centres We have established eight Health Information Centres (HICs): two in Sultanpuri, one in Kirari Suleman

Nagar, two in Bawana, one in Holambi Kahan, and two in Jahangirpuri. With the support of peer educators

from phase two, the HICs have started running activities according to a weekly schedule. Activities include

YOGA, debates, competitions, video shows, games, group discussion, cultural activities, and thematic

sessions. We have begun to run thematic sessions on non-communicable diseases with input from the

phase two peer educators, and these will increase throughout year two one the new peer educators are

trained. So far around 200 sessions have already taken place at HICs up to the end of September – with

more than 4,600 individual attendances. All the HICs have been fully equipped with indoor and outdoor

sports and games equipment, as well as a library with information in the YHP thematic areas. The libraries

are mainly targeted at the young people who visit the Centres, although they are also used by local health

workers. As part of the Participatory Rural Appraisal, focus group discussions were held with young people

to determine the arrangement and structure of the HICs in order to make them accessible. For example, it

was decided that they should be located on either the first or ground floor, and that basic facilities such as

toilets and drinking water must be available.

As with phase two, the HICs are an important

part of the YHP India programme. The team

has adopted a community centre model for

the HICs whereby they run a holistic set of

activities alongside core health education.

This helps them to engage young people,

particularly those who are vulnerable or

fearful of attending, by normalising the issue

of young health. The HICs act as a safe

space and provide a platform for young

people who can’t afford to join clubs. For

many, HICs are the only place in the

community where they can share their

feelings, inherent art and skill. The activities

delivered at HICs play a very important role in

connecting young people with the core YHP

programme.

Peer Educators We have identified an initial 305 young people (including 160 girls) to become peer educators in YHP

phase three – aged between 14-18 years old. Selection was based on their interest and attendance at the

HICs. Terms of Reference have been produced for the development of the YHP phase three peer educator

curriculum and an agency (Global Pathfields) has been identified to complete this work. We are currently

finalising the curriculum and plan to begin training the peer educators from January 2017.

An HIC session in Jahangir Puri


Page 8 of 26

Two of the peer educators from phase two of the project have now become coordinators of HICs in phase

three.

Nutrition Awareness Camps Eight nutrition awareness camps were organised in the project areas. An external consultant gave nutrition

advice to 363 young people, covering the importance of a balanced diet and low cost healthy food. Many

young people eat fast food due to its availability, accessibility and cheap price. The nutrition awareness

camps were used to explain how fast food can increase the risk of non-communicable diseases. Anaemia

is a common problem in India, and young people learnt that how they can address this by eating low cost

iron rich food like jiggery (a traditional cane sugar), green vegetables, fruits (guava, apple etc.) and adding

in vitamin C to diets.

“I was really shocked when [the] trainer explained about the consequences that excessive consumption of snacks like chips and coke may have on us”

– Prince (aged 15 years), Bawana Discussion Groups Two quarterly counsellor visits were carried out in project communities, which witnessed participation of

113 young people (51 girls). These counselling sessions were organised in association with an organisation

called Art of Living. A team from Art of Living delivered a session to young people focusing on their daily

routine/life style, and later connecting this with risk behaviours which can lead to varied non-communicable

disease. The young people participated with full of energy and enthusiasm.

Diabetes Awareness In Sultanpuri, a diabetes awareness and screening camp was organised in partnership with the Diabetes

Foundation of India (DFI). DFI is a lead organisation in Delhi state for spreading awareness regarding

diabetes prevention and management in the community. A mobile health van was deployed in the

community to provide preventive, promotive and check-up services. The diabetes camp witnessed the

participation of 108 young people. The key highlights of the event were:

Awareness talk on diabetes: Causes, symptoms, and prevention by health expert

Awareness talk on nutrition needs for non-diabetic and diabetic patients by a nutrition expert

Free check-up of the diabetes, blood pressure and body mass index (BMI)

Dietary counselling for all checked persons as per the result of the test done

National Digital Literacy Mission (NDLM) The YHP team has also collaborated efforts with the Government of India through its National Digital

Literacy Mission (NDLM). Young people have been referred by the YHP team to an agency nominated by

the Government who train the community on digital mediums like smart phones, electronic transfer of

money, online registration etc. NDLM intends to make technology accessible to all. This initiative has really

encouraged community youth to access digital technology and get connected to YHP. It will provide digital

literacy to young people so that they can access information about non-communicable diseases. So far 210

young people from Bawana, Jahangirpuri and Holambi Kalan have benefitted from NDLM.


Page 9 of 26

Result 2: Raise awareness and mobilise communities to create a safe and supportive

environment that facilitates healthy behaviour among young people

Community Outreach During the reporting period the YHP India team performed 34 street plays on the risk behaviours linked to non-communicable diseases. The training of new peer educators has been delayed due to the impact of widespread fevers across Delhi this summer and the time taken to complete start-up activities such as staff recruitment. However, peer educators from phase two performed the plays. The street plays’ messaging focused on following issues: the importance of HICs, risk behaviours linked to non-communicable diseases, and how the YHP team and HICs can support young people. The peer educators from phase two joined with other young people to perform these plays.

Through this process the street

theatre group from phase two helped

to form and train a new street theatre

group for phase three, in the in

Sultanpuri area. The group consists

of new HIC members and old peer

educators from Mangolpuri (a project

area in YHP phase one). The training

was conducted under the overall

guidance of Mr. Suraj Kashyap, a

YHP Programme Coordinator who is

also a former peer

educator/ambassador of YHP.

Advocacy with Key Stakeholders Plan India held an advocacy meeting in Jahangirpuri with two key stakeholders: The Chairman of the

Resident Welfare Association, and a Municipal Counsellor. These are both local government positions, and

the engagement demonstrates an attempt to bring in a holistic set of policy-makers which will help to

deliver long-term change. The objective of the meeting was to discuss community based issues related to

the health of young people. It was agreed to reach out to the vendors who are selling tobacco products, for

example by building relationships and ensuring that everyone understands the relevant laws and

regulations.

Mobilising authorities and community stakeholders: targeting vendors near schools

The YHP team observed and spoke with community vendors in the target communities who are selling junk

food and tobacco to young people. It was found that although all vendors are displaying a sign stating that

they don’t sell tobacco and tobacco products to the children below 18 years of age, children still constitute a

large number of their customers. YHP staff concluded that vendors have a nexus with local police, and so

are often free to sell the products without any fear. Three advocacy meetings were conducted with the

education department and police officials to discuss the need to enforce the existing policy of not selling

tobacco to children under 18 years of age and not to put the tobacco stalls within 100 meters of schools.

These meetings led to an understanding of some of the key issues. For example, many people are not

aware of the policies and problems relating to sale of tobacco, and so do not complain to the police, which

A street play in Jahangir Puri


Page 10 of 26

means that action cannot be taken. Another issue is the close location of markets to schools. The project

team plans to organise a formal meeting with stakeholders to raise the key advocacy issues. It is also likely

that this issue will become an important action point for the new YHP community stakeholder groups

(CSGs).

Awareness Campaigns Between January and September 13 national and international awareness days were observed and used

as the basis for YHP campaigns – with the participation of around 2,500 people. This includes World Health

Day, World Play Day, Anti-Tobacco Day, World Environment Day, The World Day Against Child Labour,

International Yoga Day, International Day Against Drug Abuse and Illicit Trafficking, International Youth

Day, Independence Day, Teacher’s Day, International Literacy Day, and International Women’s Day.

During these events there were community marches, speeches, debates, drawing competitions and quiz

competitions to raise awareness on the specific issue being observed on the day. For example:

On Anti-Tobacco Day, there were a

series of activities on the harmful effects

of Tobacco. The session was specifically

focused on health problems, techniques

to quit tobacco, and highlighting the

counselling support that is available.

On 8 March 2016 YHP celebrated

International Women’s Day in

partnership with the Nehru Yuvak Kendra

(the world youth network) and others at

Mangolpuri. This activity was conducted

through a YHP sustained HIC.

Celebrating World Health Day in April

A drawing competition in Bawana


Page 11 of 26

Result 3: Improve access to and quality of youth-friendly services that support the health of

young people

Participatory Rural Appraisal The YHP team conducted a Participatory Rural Appraisal (PRA) which involved a ‘social mapping’ of all five

project communities. This includes mapping all the NGOs, health centres, Integrated Child Development

Services (ICDS), religious places, community centres, playgrounds, schools etc. It was also used to record

the shops which sell junk food, alcohol, and tobacco. A total of five PRA sessions were held. The main aim

of this exercise was to use indigenous knowledge of young people and the community to map out

community resources and use this information to support the project objectives. The PRA will support

project activities in the five communities, such as determining the best location for Health Information

Centres (HICs), and understanding the key issues which need to be addressed. It will be used to develop a

project ‘road map’ and to design advocacy plans to achieve this.

“Social mapping will be of great help to us as it puts all community resources, key stakeholders and issues [together] (vendor selling alcohol and tobacco, junk food etc.). Using [a] social map we can develop a robust road map and take effective steps in taking the advocacy issues forward”

– Nitin, Programme Manager, Navshriti Research An Asia level study on ‘the impact of NCDs on young people’ was launched in New Delhi by the Population

Research Bureau (PRB) with support of AstraZeneca in July 2016. Plan India supported the PRB in inviting

key speakers from Government and NGOs to participate in the event. From the YHP Suraj Kashyap, a

youth ambassador, peer educator and HIC coordinator, was part of the panel discussion to share the story

of his involvement with the YHP.

Result 4: Strengthen the implementation of policies and laws that support prevention of

risk behaviours among young people

Synergy meetings So far activities have focused on the first three project objectives. However, the YHP team already have

good relationships with policy makers, government officials and health workers, developed throughout the

first two phases of the project. The YHP team aim to build on these relationships, initially by discussing the

objectives of phase three. For example, a meeting with officials representing primary health centres to

share the achievements of phase two and discuss how the project can support the new health centre in

Prem Nagar.

AstraZeneca India employees are in constant touch with Plan India over the project progress.

1. They have been supporting Plan India to develop an employee engagement plan for YHP phase

three and have collaborated to prepare an opinion article on NCDs, which is still to be published


Page 12 of 26

2. At the request of AstraZeneca, Plan India supported PRB in inviting the key speakers from

Government and likeminded NGOs to be part of the Population Research Bureau launch event into

the ‘Impact of NCDs on Youth’ study

1. Participation of girls and women – One significant challenge was the low involvement of women

and girls in community meetings. The YHP team discovered through group discussions that the

hesitance to participate is because women and girls are conditioned to remain in the house and do

household work – hence they were not comfortable to sit and listen to us and to open up about their

family, health or any other issues. To deal with this, the team increased the frequency of community

meetings and approached women in the community to explain about the project, so that they could

influence the younger women.

2. Trust building – The team also faced the challenge of building trust with the local community

members, as this is completely new area of work and many feel that it is not safe for girls to be

outside of the home unless they are at school. This is due to the risks that many women face in

India, such as sexual assault and rape. The project team has held meetings to gain the trust of the

local communities and demonstrate the importance of health education. Plan India is working to

hold a community safety meeting with Delhi police, and to solicit their support in addressing the

safety concerns.

3. Importance of health – Initially, when the project established HICs, many people came there

seeking to learn vocational courses (such as stitching, computers, etc.) and were disheartened to

find that the project is working on health and not providing such training courses. This has required

communication about the objectives of HICs and the importance of health information. Using a

community centre model for the HICs will also help to engage young people and ensure that the

Centres are accessible.

4. Building new partnerships – Working with the education department was a challenge during YHP

phase two because the project team found it difficult to secure formal working agreements. The

teacher training was therefore conducted on the basis of personal rapport (i.e. utilising informal

relationships between individuals rather than formal organisational relationships). The challenge of

building stronger links with the education department therefore remains, and the team is working to

overcome this. Initially it is focusing on strengthening relationships with schools as a basis for more

formal agreements. For example, during the reporting period the team organised two meetings with

a local school principal on the subject of vendors selling tobacco to children under 18 and within 100

meters of the school radius.

5. Illness - We experienced delays in some activities due to the extensive outbreak of viral fevers

across India this summer, such as Dengue and chikungunya – which affected vast sections of the

population including most project staff (including the implementing partners and consultants). This

led to delays in both the baseline survey and the development of peer educator training materials –

with a knock on effect on other activities such as the peer educator training. The delayed activities

will take place in year two.

We have now received a first draft of the peer educator training materials, and we are currently

working to finalise these ready for publication. Once the materials are complete we will use them to

train the initial batch of 305 peer educators, as well as local health workers


Page 13 of 26

In January we will undertake mapping and planning for the establishment of Community

Stakeholder Groups. We will also provide advocacy training to the groups

We will produce a set of advocacy tools (such as policy briefs on the YHP thematic areas) and

disseminate these. These will be based on the peer educator training materials

As a basis for working towards objective four (strengthen the implementation of policies and laws

that support prevention of risk behaviours among young people), we will map the policy and legal

environment and advocacy stakeholders in thematic areas

We will conduct participatory research into healthy eating, active lifestyles and risky sexual

behaviour – in order to better understand the issues that need to be addresses

Appendix A details the year one expenditure of £101,551. Due to the time taken to close phase two of the

project and make the necessary arrangements to begin phase three, the activities of phase three did not

begin until January 2016. The year one expenditure report therefore relates to nine months (January to

September 2016) compared to the budgeted 12 months. Moreover, the delays to activities caused by the

widespread outbreak of fever across Delhi have also impacted the year one expenditure. In some areas

expenditure for year one will appear in the next financial report due to the time taken to process payment

and invoices.


Page 14 of 26

YHP INDIA PHASE 3 BUDGET Year 6

Budget

Year 6

Expenditure

(Jan16 - Sep

16)

% of budget

spent

Explanation for variances

YEARS 6-10 (5 years total)

PROGRAMME STAFFING & OPERATIONAL COSTS GBP GBP

Programme staff – Plan India

22,982 12,945 56%

On track. Still some staff expenditure to be added

to financial reporting systems

Operational Costs Travel & meals 1,667 50 3%

Field visits were more limited than expected, due

to focus on baseline survey

TOTAL PROGRAMME STAFFING & OPERATIONAL COSTS £24,649 £12,995 53%

PROGRAMME ACTIVITIES COSTS

Objective -1

HIC operating costs

including staff and

premises

Project Manager (100%). One staff for each NGO

partner 14,467 4,806 33%

Recruitment of staff was delayed and so there

were some savings. Some of this was used in the

branding and promotional materials budget line

Project Coordinator (100%) - 2 x 15 HICS 30,856 11,750 38%

Recruitment of staff was delayed and so there

were some savings. Some of this was used in the

branding and promotional materials budget line

Project accounts officer (50%) - one per partner 1,635 1,278 78% On track

HIC Rent 4,904 1,750 36%

Underspend due to general project delays as

explained in report

Travel cost 1,716 835 49%


explained in report

HIC admin costs 6,130 3,934 64%


explained in report


Page 15 of 26

HIC activities and

outreach

Identification and establishment of HICs in new areas -

HIC 8,337 5,907 71%

On track

HIC deliver a range of activities on YHP 3 thematic

areas to HIC participants – including information

sessions, debates, competitions

1,635 572 35%

Slight underspend, due to project delays as

explained in report. Spending will increase once

new peer educators are trained

Quarterly visits by professional counsellor 654 32 5% Underspend due to general project delays as

explained in report

Establishment of health information libraries in each

HIC 1,226 365 30%

Not all expenditure has been entered onto

financial reporting systems yet, and so this will be

reflected fully in the next report

Provision of basic sports equipment at the HIC that

can be used by young people 409 140 34%

Not all expenditure has been entered onto

financial reporting systems yet, and so this will be

reflected fully in the next report

Nutrition awareness camps for young people 981 363 37% Underspend due to general project delays as

explained in report

Peer educators

training

Develop peer educator curriculum 12,260 - 0% No expenditure planned in year one

New peer educators (4 Days)

4,087 - 0%

No expenditure planned in year one

2500 Participants X Rs.500 per person includes

materials, food, refreshment ,venue cost etc.

Refresher training (3 days) for 2500 participants with

10% increase in per unit cost annually. The unit cost

includes materials, food, refreshment and venue cost

etc.

- - N/A

No expenditure planned in year one


Page 16 of 26

IEC materials

Project branding and visibility materials for peer

educators (YHP branding, t-shirts, Bag, Caps, pen, key

chain, diaries etc.)

5,108 6,122 120%

Slightly over budget. Some of the underspend

from staff costs was used here on promotional

materials

Printed materials (Training Modules, Flip Books,

posters, leaflets, folders etc.) 25,541 32,961 129%

Slightly over budget. Some of the underspend

from staff costs was used here on promotional

materials

Objective -2

Community

Meeting

Community meetings focused on specific topics –

some on weekends to enable fathers to participate-

Mass Awareness (Mid Media)

276 80 29%


explained in report

CSG mapping and action planning

Two meeting per location in year one @ Rs.4000/- per

meetings (2CSG/HIC)

429 - 0%

To take place in January 2017

-

- N/A

CSGs trained on advocacy No expenditure planned in year one

Nutritionist delivering talks in communities specifically

targeting parents 613 45 7%


explained in report

Large scale bi-annual meetings focussing on

community safety involving political leaders 1,022 - 0%


explained in report

Meetings with key stakeholders (e.g. religious leaders,

police) on specific local advocacy topics including

gender inequalities in nutrition, safety for women and

girls

268 - 0%


explained in report

Mass awareness Campaigns linked to celebration/awareness days (tbc)

but including national nutrition week 3,831 226 6%


explained in report


Page 17 of 26

(State &

Community)

Wall-painting and other signs about thematic issues to

be placed in schools/public community spaces/health

Centre

255 - 0%


explained in report

Sensitisation of teachers & principals on thematic

areas in schools in new areas 460 - 0%


explained in report

Community outreach activities including- street plays,

magic shows, puppet shows, rallies, debates etc. 2,554 554 22%


explained in report

Objective -3

Training

Health worker training

511 - 0%

The activity will now take place in Feb/March

2017

(20 Participants X 1 days X Rs.500 unit cost inc.

materials, food, refreshment venue cost etc.

Creation of model facility providing youth friendly

health services - - N/A

No expenditure planned

Exposure visit Supporting exchange visits of health workers to model

facility providing YFHS - - N/A


Assessment Assessing the youth friendly aspects of health services

through score-carding - - N/A


Objective -4

Review &

Dissemination Produce a set of advocacy tools & disseminate 2,554 - 0%

This activity will now take place in Feb/March

2017

Meeting

Synergy meetings with gov. stakeholders to sensitise

on risk behaviours, maintain high profile of YHP &

enhance coordination

383 - 0%


explained in report

Project Launch/celebration events 5,108 5,041 99% On track


Page 18 of 26

Mapping of policy and legal environment and

advocacy stakeholders in thematic areas 4,087 - 0%

This activity will now take place in March/April

2017

Youth advocates participate in relevant forums and

promote YHP advocacy messages - - N/A


Training Advocacy and leadership training for a cohort of youth

advocates - - N/A


Monitoring and

Evaluation

activities

Review meeting

Phase 3 Start-up Workshop (5 Day) 1,430 - 0% Delays to the project start-up meant that this

activity was funded from a different budget

Ongoing M&E – including quarterly reviews, partner

meetings etc. 184 46 25%


explained in report

Participatory research into healthy eating, active

lifestyles and risky sexual behaviour 5,108 - 0%

This activity will now take place in Feb-March

2017

Baseline 10,217 5,070 50% Part of the payment for the baseline survey is still

to be made to the consultant

Documentation of key learning/best practices e.g. HIC

model - - N/A


Project and partner staff training and development 8,848 - 0%

This activity will take place as soon as the training

curriculum is finalised

Impact assessment of the phase 1& 2 areas - - N/A No expenditure planned

Mid-term evaluation - - N/A No expenditure planned

Final evaluation - note this must include phase 1-2

areas - - N/A


TOTAL PROGRAMME ACTIVITIES COSTS £168,082 £81,877 49%


Page 19 of 26

TOTAL PROGRAMME STAFFING, OPERATIONS & ACTIVITY BUDGET £192,731 £94,872 49%

Programme Delivery Support costs

Plan India Management Cost 7% (e.g. office support costs) £13,491 £6,679

50%

OVERALL BUDGET FOR YHP INDIA £206,223 £101,551 49%


Page 20 of 26

YHP India Output Indicator Measurement Table

OBJECTIVE/GOAL OUTCOME INDICATOR

NUMBER OUTCOME INDICATORS

METHODS SELECTED TO MEASURE INDICATOR

SOURCE OF DATA

Overall Goal Improve health and well-being of girls and boys between 10-24 years of age in India

Improved health of girls and boys between 10-24 years of age in Delhi

A

% of boys and girls aged 10-24 years reporting improved health practices

by 2020 in relation to the 5 risk behaviours

Objective 1 Build the knowledge and capacity of young people (boys and girls aged 10-24) in limiting risk behaviours, enabling them to protect and promote their long-term health

Young people in YHP target areas have improved knowledge about

harmful risk behaviours 1.1

% of young people with increased knowledge on the 5 harmful risk

behaviours

Questionnaire, FGD, PE meetings,

Baseline, Mid Line & End line,

Young people report actions taken to protect their health in relation to risk

behaviours 1.2

# of young people reporting positive behaviour change relating to 1 or

more of the risk behaviours

Interviews, PE meetings, FGD, Case

Studies

Baseline, Mid Line & End line, Programme

Report

Youth peer educators demonstrate increased confidence and capacity

1.3 # of peer educators reporting an

increase in confidence and ability to engage their peers and community

Case study, interview, FGD

Baseline, Mid Line & End line

Objective 2 Raise awareness and mobilise communities to create a safe and

Community members in YHP target areas have improved knowledge about

harmful risk behaviours 2.1

% of community members with increased knowledge about the 5

harmful risk behaviours

Questionnaire, FGD, community meetings,

Baseline, Mid Line & End line


Page 21 of 26

supportive environment that facilitates healthy behaviour among young people

Community members secure positive changes in the wider environment that help address risk behaviours among

young people

2.2 % of schools actively supporting the promotion of adolescent health and

reduction of risk behaviours Case Studies

Programme report (Annual)

Sustainable community structures, including CSGs, are actively

supporting the health of young people 2.3

% of community members, including CSGs, actively supporting the

promotion of adolescent health and reduction of the 5 risk behaviours

CSG meetings, Youth Group Meetings Case

Studies

Programme report (Monthly)

Objective 3 Improve access to youth-friendly services that support the health of young people

Health facilities in targeted area provide greater access to youth-

friendly services 3.1

% increase in young people using AFHS

Health Centre Record, score-carding report

Govt. Data

Health facilities in targeted area provide improved quality of youth-

friendly services 3.2

% of young people reporting satisfaction with quality of health

services

Health Centre Record, score-carding report

Govt. Data, score-carding report

Objective 4 Strengthen the implementation of policies and laws that support prevention of risk behaviours among young people

Young people have a voice in decision-making processes relating to

their health 4.1

# of youth advocates reporting greater consideration of their

opinions in national and community level dialogue relating to their health

Community Score-carding Format YHP reports, case studies

FGDs, surveys

YHP contributes to district and national level dialogue with key stakeholders on

the 5 risk behaviours 4.2

# of district and national level stakeholder dialogues and briefings

that reflect the needs of young people relating to the 5 risk

behaviours

Case Studies, YHP advocacy plan and

reporting

Advocacy strategy monitoring, policy briefings, minutes from stakeholder

meetings


Page 22 of 26

YHP India Output Indicator Measurement Table

OBJECTIVE/GOAL ACTIVITY REF.

ACTIVITY (per proposal) OUTPUT INDICATORS Overall Target

Achieved Y1

Status (RAG)

Objective 1 Build the knowledge and capacity of young people (boys and girls aged 10-24) in limiting risk behaviours, enabling them to protect and promote their long-term health

1.1 Identify and establish Health Information Centres (HICs) in new areas

# of HICs established 15 8 On target

1.2 HICs deliver a range of activities on 5 thematic areas to HIC participants

# youth enrolled into HIC (girls, boys) TBC 2,290 TBC after baseline

# HIC sessions delivered TBC 196 TBC after baseline

# Attendances at HIC sessions TBC 4,646 TBC after baseline

1.3 Develop sustainability plans for HICs beyond the end of the project

# HIC sustainability plans developed TBC N/A Year three activity

1.4 Develop peer educator curriculum Peer education curriculum developed (covering all 5 risk behaviours and NCDs) in year 1

5 0 Delayed, will happen in year two

1.5 Young people identified to be peer educators # youth identified as PE 2,500 305 On target

# FGD for recruitment of PE TBC 1 On target

1.6 Peer education training on YHP thematic areas

# PE trained 2,500 0 Delayed, will happen in year

two

# trainings delivered TBC 0 Delayed, will happen in year

two

% improvement KAP TBC 0 Delayed, will happen in year

two

1.7 Refresher training on YHP thematic areas # PE attended refresher training TBC 0 Year two activity

# trainings delivered TBC 0 Year two activity

1.8

Mapping of organisations working in substance use, mental health and eating disorders and relevant services that YHP can signpost cases to, as well as vocational opportunities

Mapping activity conducted in all 5 project areas

TBC 8 Complete

Meetings with other organisations working in communities

TBC 0 Delayed, will happen in year two

1.9 Signposting of young people with additional support needs

# young people referred to health facilities


1.10 Development of youth-friendly IEC/BCC materials to support outreach

IEC materials developed for all 5 risk behaviours and NCDs



Page 23 of 26

1.11 Nutrition awareness camps for young people

# nutrition camps conducted TBC 8 TBC after baseline

# participants at nutrition camps TBC 363 TBC after baseline

# anaemic cases referred to health facility

TBC Awaiting data

# malnourished young people referred to Anganwari centre for Sabla scheme (empowerment programme)

TBC Awaiting data

1.12 Quarterly visits by professional counsellor to provide group and individual counselling:

Quarterly counselling visits conducted per project area

TBC 2 TBC after baseline

# youth counselled (male, female) TBC 113 TBC after baseline

# referral cases TBC Awaiting data

1.13 Linking with wider organisations for integration on sports activities and Sexual and Reproductive Health

Strategic partnerships established TBC Awaiting data

1.14 Establishment of health information libraries in each HIC

# HIC with functioning library containing materials focussed on 5 risk behaviours and NCDs


1.15 Provision of basic sports equipment at the HICs that can be used by young people

# HIC with basic sports equipment TBC 8 TBC after baseline

# sports activities conducted using HIC equipment

TBC Awaiting data

# young people participating in sports activities (girls, boys)

TBC Awaiting data

1.16 Participatory research into poor eating habits, inactive lifestyles and risky sexual behaviour

Participatory research is conducted covering 3 risk behaviours


Objective 2 Raise awareness and mobilise communities to create a safe and supportive environment that facilitates healthy behaviour among young people

2.1 Community outreach activities

# of young people reached (girls, boys) TBC 1,470 TBC after baseline

# of wider community reached (male, female)

TBC 2,020 TBC after baseline

# activities implemented TBC 5 TBC after baseline

2.2 Community meetings

# community meetings conducted TBC 121 TBC after baseline

# community members attending event/meeting

TBC 3,016 TBC after baseline

2.3 Nutritionist community talks

# nutritionist talks conducted TBC 2 TBC after baseline

# people participating in talks (male, female)


2.4 Establishment of new CSGs # of new CSGs formed per project area TBC 0 Delayed, will happen in year

two


Page 24 of 26

# participants in CSG (male, female) TBC 0 Delayed, will happen in year

two

2.5 CSGs trained on advocacy # CSGs advocacy trainings conducted TBC 0 Year two activity

# CSG members trained (male, female) TBC 0 Year two activity

2.6 CSGs action planning Every CSG completed action planning in year 1


2.7 CSGs supported to become sustainable At least 1 CSG per project area is supported


2.8 Targeting of vendors selling unhealthy food and drinks near schools

# vendors sensitised on healthy food selling


# 1-2-1 interactions with food vendors TBC 0 Delayed, will happen in year

two

2.9 Creation of vendor display materials # vendors displaying materials TBC 0 Delayed, will happen in year

two

2.10 Wall-painting # schools or public spaces with wall paintings / other displays in each project area


2.11 Advocacy meetings with key stakeholders

# of advocacy meetings with key stakeholders


# of stakeholders participating in meetings


2.12 Community safety meetings

# of community safety meetings with key stakeholders


# of community members participating in meetings


2.13 Campaigns linked to celebration/awareness days

# of activities implemented linked to celebration/awareness days


2.14 Mapping of teacher knowledge Mapping of teacher knowledge in each project area


2.15 Development of teaching materials Development of integrated teaching materials covering all 5 risk behaviours and NCDs


2.16 Sensitisation of teachers and principals

# of teachers sensitised TBC 0 Delayed, will happen in year

two

# of schools targeted TBC 0 Delayed, will happen in year

two

2.17 Promoting healthy foods in schools # of advocacy meetings with principals TBC 0 Delayed, will happen in year

two


Page 25 of 26

Objective 3 Improve access to youth-friendly services that support the health of young people

3.1 Health service mapping Health service mapping completed in each project area


3.2 Health worker knowledge mapping Health worker knowledge mapping completed in each project area


3.3 Development of YHP technical modules for health service providers (and teachers)

Development of integrated teaching materials covering all 5 risk behaviours and NCDs


3.4 Health worker sensitisations

# of health workers sensitised TBC 0 Delayed, will happen in year

two

# of training sessions conducted TBC 0 Delayed, will happen in year

two

3.5 Score-carding Scorecard assessment conducted in all health facilities in each project area

TBC 0 Year three activity

3.6 Supporting improvements of YFHS # of AFHS facilities supported following scorecard assessment


3.7 Creating model YFHS Model AFHS created per project area TBC 0 Year three activity

3.8 Health worker exchanges # of visits carried out TBC 0 Year five activity

# health workers participating in visits TBC 0 Year five activity

3.9 RKSK rollout # of health workers sensitised on RKSK TBC 0 Delayed, will happen in year

two

Objective 4 Strengthen the implementation of policies and laws that support prevention of risk behaviours among young people

4.1 Synergy meetings

# of meetings with district and state level health and allied departments officials


# of stakeholders attending the meetings


4.2 Advocacy mapping Advocacy mapping conducted covering all 5 risk behaviours


4.3 Advocacy tool development # of policy briefs and other advocacy tools created


4.4 YHP Advocacy plan YHP advocacy plan developed and implemented


4.5 Mapping of advocacy forums Mapping of advocacy forums relating to each risk behaviour (including where youth advocates can participate)

TBC 0 Year two activity

4.6 Advocacy and leadership training

# of youth advocates trained (male, female)


# of trainings conducted TBC 0 Year two activity


Page 26 of 26

4.7 Participation of youth advocates

# of youth advocates engaging stakeholders at public events and advocacy meetings


4.8 Joint advocacy # of joint advocacy activities conducted


4.9 Launch and celebration events

Launch and celebration events conducted

TBC 1 Complete

Number of young people participating in event

TBC 1,043 Complete

Please note, overall targets for most of the indicators are still being determined pending the final results of the baseline survey.

Documents

Annual Report Young Health Programme India...Annual Report Young Health Programme India Page 4 of 26 The project began in January 2016 with a workshop involving all partners. This