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MENSTRUAL HYGIENE MANAGEMENT: TRAINING OF MASTER TRAINERS
PRESENTED BY THE
Water Supply and Sanitation Collaborative
Council (WSSCC) IN COOPERATION WITH THE
Indian Institute of Public Administration
NEW DELHI, INDIA 24-27 SEPTEMBER, 2013
MENSTRUAL HYGIENE MANAGEMENT: TRAINING OF MASTER TRAINERS
2
Cont
ents
AbbreviationsMHM Menstrual Hygiene ManagementWSSCC WaterSupplyandSanitationCollaborativeCouncilNRHM NationalRuralHealthMissionNBA NirmalBharatAbhiyanNBY NirmalBharatYatraMDWS MinistryofDrinkingWaterandSanitationIEC Information,educationandcommunicationGOI GovernmentofIndiaTOT TrainingofTrainersIIPA IndianInstituteofPublicAdministration
Abbreviations 2
Introduction 3
Background 4
NirmalBharatAbhiyan:MenstrualHygieneManagementinPolicyInterventions 5
ConceptualFramework 6
ThreeDimensionsofMenstrualHygieneManagement 6
RighttoSanitation 6
BreakingtheSilence 7
UnderstandingMenstrualHygieneManagement 7
TrainingResourcesandSkills 8
ActionPlansandNextSteps 9
Conclusion 9
Annexes 11
Annex1:ParticipantList 11
Annex2:TrainingProgramme 15
Annex3:StateActionPlans 17
1.DelhiPlan 17
2.UttarPradesh(NGO)Plan 18
3.UttarPradeshNRHMPlan 22
4.UttarPradeshGovernmentPlan 23
5.MadhyaPradeshPlan 24
6.JharkandStatePlan 26
7.BiharPlan 27
8.ChhattisgarhPlan 28
MENSTRUAL HYGIENE MANAGEMENT: TRAINING OF MASTER TRAINERS
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Introduction
This report presents the main highlights and insights from the Training of Trainers (ToT) on Menstrual Hygiene Management (MHM) Programme, which was run by the Water Supply and Sanitation Collaborative Council (WSSCC) from September 24-27, 2013 in New Delhi with the support of the Indian Institute of Public Administration.
Thefirstofitskind,thisnationaltraininginitiativewasorganisedwiththeobjectiveofcreatingmastertrainersfromHindi-speakingstatescapableofreturningtotheircommunitiesaschampionsforadeeplystigmatisedandtabooissue–anissuewhichiscentraltothedignity,healthandwell-beingofwomenandgirls.
Sixty-twoparticipantsfromUttarPradesh,Jharkhand,Bihar,MadhyaPradesh,Chhattisgarh,UttarakhandandDelhiwhoattendedthefour-daytraining.TheNationalRuralHealthMission(NRHM)andWater,SanitationandHygiene(WASH)sectorswerewell-representedbygovernmentrepresentativesandNGOpractitioners.
ThetrainingwasboostedbythepresenceofMrPankajJain,SecretaryoftheMinistryofDrinkingWaterandSanitation,andMsPratimaJoshi,DirectoroftheNirmalBharatAbhiyan,bothofwhomemphasizedtheimportanceofusingMHMtoachieveacleanerIndiaandexpressedtheirsupportforincludingMHMintheNBAguidelines.TheyalsogaveexamplesoftheneedforbuildingcapacitytoaddressthethreeprongsofMHM,includingbreakingthesilenceonthistaboosubject,incorporatingMHMintoIECstrategiesandencouragingtheuseofNBAfundsforsafedisposalofusedmenstrualmaterials.
MENSTRUAL HYGIENE MANAGEMENT: TRAINING OF MASTER TRAINERS
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Background
According to a study by AC Nielsen and Plan International there are 355 million menstruating females in India; but only 12% use sanitary napkins, and the large majority live with the indignity of stigma, shame and taboos surrounding menstruation. Stress and loss of productivity are only two of the many unwarranted consequences attached to this biological phenomenon, which should be a source of pride as it is a key element of the female reproductive cycle, and one that helps perpetuate the human race.
WSSCC’sMenstrualHygieneLab,whichranduringthe51-dayNirmalBharatYatra(NBY)acrossfiveIndianstatesbetweenOctober2andNovember19,2012,foundthat80%ofgirlsintervieweddidnothaveanyknowledgeofmenstruationuntiltheonsetofmenarche.Forthesegirls,theirfirstperiodwasaccompaniedbyfearofdying,shameanddistress.WomenandgirlsalikerespondedenthusiasticallytotheopportunitytheMHMLabgavethemtotalkabouttheissue,learnhowtoaddressitatapersonalandsocietallevel,andcommittotakingtransformativeaction.
BasedonthisoverwhelmingresponseandthedemandforinformationandknowledgeonMHM,WSSCCembarkedonatwinstrategyofworkingwiththeGOItoarticulatetheseneedsclearlyinnationalpolicy,whilebuildingcapacitytoimplementthispolicyacrossarangeofstakeholdersatstateanddistrictlevels.
TheTrainingofTrainers(TOT)ProgrammeorganisedinDelhiwasthefirstofitskindtohavetheobjectiveofequippingtraineeswithtoolsandknowledgeforadvocacyandtrainingthatfocusedonarrivingatanindividualactionplan,whicheachtraineecouldtakeforwardtotheirrespectivestatesandorganisations.
Only
12% of Indian
menstruating women use
sanitary napkins
MENSTRUAL HYGIENE MANAGEMENT: TRAINING OF MASTER TRAINERS
5
Nirmal Bharat Abhiyan: Menstrual Hygiene Management in Policy Interventions
TheinauguralsessionwithMrPankajJain,SecretaryoftheMinistryofDrinkingWaterandSanitation(MDWS),DrT.Chatterjee,DirectorofIndianInstituteofPublicAdministration(IIPA)andProf.SushmaYadavofIIPAhighlightedtheimportanceoftheissueandtheworktobedoneonMHMinIndia.
MrJainpointedoutthatwhileNBAguidelinesandthemajorityofWASHinitiativesdonotexplicitlymentionmenstrualhygienethereisaprovisionforpipedwatertohouseholds,whichwouldhelpimprovehygieneacrosstheboard.HealsopointedtoexamplesofsuccessfulinitiativesonMHMinschoolsinTamilNaduandMadhyaPradeshthatcouldserveasanexampleandinspirationtotherestofthecountry.
MrJainsaidthathisrecentexposuretothisissuehadconvincedhimoftheneedtoincludeitinsanitationandhygienepolicy,andmainstreamtheissueinschoolsandcollegessothatgirlsandwomenwouldnotfeelvulnerableandfrightened.BothMrJainandDrChatterjeetoucheduponthecrucialissueofsafedisposalthroughincineratorsandcomposting,highlightingthecomplexityofthechallengeandtheneedforfurthereffortandactionresearch.
Takingthesethemesforward,Prof.Yadavappealedtotraineestomakefulluseofthisopportunitytoequipthemselveswiththeknowledgeandabilitytobreakthetaboosandsilencearoundmenstrualhygiene.ShewasexcitedbytheinnovationandcouragebehindthetrainingandpleasedtobeassociatedwithsuchacentralissueasMHM,whichaffectshundredsofmillionsofwomenandgirls.ShesaidthattheToTprogrammeillustratedvividlyandcreativelythecorrelationbetweenMHMandIIPA’sfocusonbetteradministrationandgovernanceinIndia.
▲ VolunteersfromWSSCCpartnerGoonj,anIndianNGO,showgirlshowtheycanmakesanitarynapkinsathomefromcleaned,recycledcloth©WSSCC.
Examples of successful initiatives on MHM in schools serve as
an example and inspiration to the rest
of the country
MENSTRUAL HYGIENE MANAGEMENT: TRAINING OF MASTER TRAINERS
6
Conceptualframework
Three dimensions of Menstrual Hygiene Management
The training was based on WSSCC’s framework for Menstrual Hygiene Management (MHM), which includes the three interlinked dimensions of managing menstruation hygienically. Ms Archana Patkar shared these aspects with the group. The three prongs of MHM are:
1.Breakingthesilence–fosteringunderstandingthatmenstruationisafactoflifeandadistinctbiologicalfemaleattributeofwhichwomenshouldbeproud,notashamed.Girlsshouldbeencouragedtotalkaboutthisbiologicalphenomenoninaninformedandpositivemanner,topreparethememotionallyandphysicallyfortheonsetofmenstruationandsubsequentmonthlymenstrualperiods.
2.Managingmenstruationhygienicallyandsafely–ensuringadequatewater,cleansingandwashingmaterialsandprivatespacesformanagingmenstrualflowshygienicallyandprivately,andwithdignity,inthehomeandinpublicspaces.
3.Safereuseanddisposalsolutions–ensuringmechanismsforsafereuse,collectionanddisposalofmenstrualwaste,withdignityandenvironmentalsafety.
Right to SanitationFollowingthethree-prongedapproachwasadiscussionabouttherightsframework,theRighttoSanitation,andbarrierstoaccessanduse,whichsetthetoneforthenextfourdays.Thegroupwasquicktounderstandandpointoutthatoftenpolicies,aswellastheimplementationofsanitationinitiatives,donottakeintoaccountgender,ageanddisability.
Therewereseveralcriticalquestionsraised,including:“IftheRighttoSanitationisestablishedandratifiedwhyistherenodemandforthisright?”and“CanRTSbeachievedforwomenandgirlswithoutconsideringMHM?”Perhapsthemostimportantpointraisedwasthatalthoughinfrastructureandfacilitiesplayacrucialrole,womenareunabletodemandtheirrightsbecauseoflackofconfidenceandsecurity.Forexample,whilegirlsmayhavethenecessaryfacilitiesinschool,theystillstayathomeduringmenstruationbecauseoffearandparentalrestraintsontheirmobilityduringthistime.
ArchanaPatkarsharedherexperiencefromtheNirmalBharatYatra,wherethehighestdemandamonggirlswasnotforsanitarynapkinsbutforacounsellororteachertheycouldtalkto.Arecurringquestionwasformoreinformationon thisissue.
“If the Right to Sanitation is
established and ratified why is there
no demand for this right?”
MENSTRUAL HYGIENE MANAGEMENT: TRAINING OF MASTER TRAINERS
7
Breaking the Silence Thetrainingbeganwithanexperience-sharingexerciseinwhichparticipantstalkedabouttheirfirstencounterwithmenstruation.Itwasevidentfromtheparticipants’enthusiasmoverthecourseoftheexercisethatformany(especiallymaleparticipants)thisforumwasthefirstopportunitytheyhadhadtoopenlydiscussthistopic.Furthermore,itwasclearthatsilenceandshameattachedtomenstruationhadtouchedeveryoneinonewayoranother.
Storiesfrommenoftenhighlightedconfusion,secrecyandseparationbetweenboysandgirls,whilewomen’sanecdotesillustratedtheshame,isolation,fear,sadnessandtaboosassociatedwithmenstruation.Someinterestinganecdotesincluded:
“As a young boy, I used to see advertisements for sanitary napkins and imagine that wearing these pads would help me run faster. It wasn’t until biology class in school that I realised what was going on. And the family would always make an effort to cover or avoid us watching these ads. I asked but was never told what it was.”
“In my village I used to notice that a lot of cloth was thrown out in piles outside. On one occasion I noticed that some of the cloths looked familiar and were from my house and I became suspicious and began questioning adults about why they were thrown out. I was given a very vague explanation around menstruation, that is was something that women encountered, and was shut out from having any further conversation around it.”
An unusual anecdote highlighted the involvement of a progressive male family member. It inspired the group to use the portrayal of a positive figure to create the concept of ideal role models and champions for this cause.
“My first period was extremely painful and I was scared and in a great amount of pain. It was my father who actually taught me how to use the pads and to take care of my health and nutrition. I was actually informed that it was a good thing – and given full information about the regularity of my period, etc.”
Attheendoftheexerciseitbecameobviousthatmenstruationwasshroudedinshame,taboo,fear,secrecyandisolation.Perhapsthemostsignificantfeatureofthissessionwasthatforthefirsttimebothmaleandfemaleparticipantshadexperiencedanequalandopenplatformtoshareanddiscussmenstruationandhowithadtouchedtheirlives.
Understanding Menstrual Hygiene ManagementThenexttwotrainingsessionswerespentunderstandingthethreemainaspectsofmenstrualhygienemanagement(asmentionedpreviously).ThetraineesweredividedintogroupsandstudiedtoolsdevelopedbyWSSCCanditspartners,whichexplainthemenstrualcycleandchangesinthehumanbodyfromchildhoodandadolescencetoadulthood.ThetoolsandtrainingguidesdevelopedbyWSSCCarelivingmaterial,designedtochange,evolveandbeadaptedtodifferentcontexts.
Whilethissessionaimedtoimproveunderstandingofthebiologicalprocesseslinkedtothemenstrualcycleitalsoenabledparticipantstosystematicallyprovidefeedbackonthetrainingtoolstheyused.ValuablefeedbackwasacquiredfromthegrouponthemenstrualwheelandtheKavaadtool,whichwillbeincorporatedintothetoolkitstorefinethembeforebeingsharedwiththetrainersforfutureuse.
ThegroupsthenbrainstormedonthethreeaspectsofMHMandsharedsolutionsonhowtoaddressthechallengeswefacebreakingthesilence,onMHMpracticesandsafereuseanddisposal.
Managing menstruation hygienically and safely
Safe reuse and disposal
solutions
Breaking the silence
“As a young boy, I used to see advertisements for sanitary napkins and imagine that wearing these pads would help me run faster. It wasn’t until biology class in school that I realised what was going on. And the family would always make an effort to cover or avoid us watching these ads. I asked but was never told what it was.”
MENSTRUAL HYGIENE MANAGEMENT: TRAINING OF MASTER TRAINERS
8
Theseincluded:
n GenderSensitisation–MHMatitscoreisaboutequityandalifeofdignityforwomenandgirls,
n Sexeducation–whilethishasbeenacontroversialissueitiscrucialthatsexeducationbeaddedtoschoolcurricula,withafocusonapracticalunderstandingofthebody,
n MHMshouldbeclearinpolicyguidelines–healthworkersareincentivisedtoworkonanissueonlyifisincludedinthepolicyandguidelines,andindicatorsaremonitored,
n Usingmassmedia–theinvolvementofVidyaBalanhaschangedthingsbecausenowpeoplearethinkingabouttoiletsasanissue,andthesameshouldbeappliedtoMHM,
n Educationonsafehygienicpractises,
n Moreresearchondisposalpractices,
n Researchonlinksbetweenmenstrualhygieneandreproductivetractinfections.
Training Resources and SkillsHavingspentalmosttwodayslearninganddiscussingthevariousaspectsofMHM,eachgrouppreparedasessionfromthetrainingmodulesandconductedatrainingexerciseinplenary.
Aseachgroupcontaineddifferentkindsofworkers,managers,trainersandfacilitators,theydisplayedagoodunderstandingandinternalisationofthecomplexityofissuesattachedtoMHM,includingtheroleofdisability,roleplayedbyboysandmeninMHMandthelinksbetweenreproductivehealthandMHM.Allofthetraineesemployedcreativetools,suchasrole-playingexerciseslinkedwithquestionandanswersessions,toimpartthetraining,whilebearinginmindthedistinctiveneedsofruralandsemi-urbantargetgroups.
ThesetrainingsessionshelpedtheWSSCCteamunderstandtheefficacyofthetrainingmanualsandthetrainees’levelofunderstanding.Consequently,sensitiveissuessuchasdisability,andtechnicaltopicsthatneededamedicalunderstanding,mayrequiremoresupportingmaterialsandtools.
ThelasttwosessionsofthetrainingmovedawayfromthefoundationsofMHMtotraining-basedsoftskills.Experttrainersconductedsessionsoncommunicationandtrainingskills.Thesesessionswereparticularlywell-receivedbytheparticipantsastheyputtheissuesdiscussedoverthreedaysinthecontextofeffectivecommunicationandtraining.
Action Plans and Next StepsOndaysthreeandfourthegroupsdividedintosub-groupsbasedontrainees’homestatesandsectors.Theythendevelopedactionplansfor2014,givenexistingmanpowerandresources.Thiswasapowerfulexerciseastheparticipantswereabletoapplythelearningfromtheprevioustwodays,andputitintoactionablestepsusingexistingknow-howandtheresourcesavailabletothem.Actionplans(summariesofwhichareincludedintheAnnexes)focusedonimmediatenextstepsandusingexistingresourceswithpotentialtechnicalassistancefromWSSCC.
MENSTRUAL HYGIENE MANAGEMENT: TRAINING OF MASTER TRAINERS
9
Therewereseveralmotivatedplansfromaroundthecountry.Forexample,theNGOsdrewupplanstoconductsurveysandtrainingswithadolescentyouthandwomenintheircommunities,whilesomegovernmentworkerscreatedaworkplanforcommunitymobilisationandadvocacywithpolicymakersintheirregion.
Dependingoncapacitiesandroles,theplansvariedfrombeingextremelycomprehensivetoambitious.
AnorganisationinDelhi,forinstance,aimstotrain1000adolescentgirlsandboysand1000womeninMHM.TheNGOgroupfromUttarPradeshconductedanimpressiveself-analysisandcreatedamulti-stakeholderplanthatincludestraininginvillages,schoolsandcommunity-basedorganisationswithwomen.TheUttarPradeshNRHMgroupplanstodirectitsenergyontoadvocacyacrossdifferentlevels.Chhattisgarhisplanningonfocusingitseffortsonadvocacy,capacitybuildinganddevelopmentofresourcesandcommunicationmaterials,whiletheMadhyaPradeshgrouphasdevelopedcomprehensiveadvocacyandtrainingplans.
TheactionplansummariessubmittedbytheparticipantscanbefoundinAnnex2.
ConclusionThetrainingoftrainersconductedbyWSSCCinDelhiforHindi-speakingstateswasanunusualTOT,inmorewaysthanone.CreatingacadreofmastertrainersforMHM,anareaoftenmistakenlyconsideredesotericorminor,meantthatparticipantshadtomakesignificantleapsinbecomingcomfortablewithdiscussingmenstruation,understandthetopicanditschallenges,andthenbuildtheskillsneededtotransferthisknowledge.Thiswasanambitioustaskforsuchashorttraining.
Overthecourseoffourdays,notonlydidseveralparticipants(whohaveneverdiscussedmenstruationopenly)conducttrainingsessionsforover50people,theywerealsoabletocreateplansforadvocacy,communicationsandtrainingwithintheirrespectiveorganisations.Additionally,thisgroupalsoservedasfirsttestersofthematerialsandresourcesdevelopedbyWSSCC.Allofthisfeedbackhasbeenrecordedandwillbeincorporatedintothematerialaswellasthenextsetoftrainingsessions. ▼ Participantsatthetrainingprogramme
MENSTRUAL HYGIENE MANAGEMENT: TRAINING OF MASTER TRAINERS
10
Asabonus,thankstotheMDWS’sinvolvement,MHMhasnowbeenincludedintheNBAguidelines–aclearandimportantmilestonetowardmainstreamingMHMinIndia.MovedbytheToTprogramme,MsBhagwatiSharma,atraineewhoworkswiththeNBAinChhattisgarh,wroteandcomposedasongontheshameandsilencethatshehadexperiencedasayounggirlonissuesconcerningmenstruation.ThesongandanEnglishtranslationareshownbelowinBox1.
MENSTRUAL HYGIENE MANAGEMENT: TRAINING OF MASTER TRAINERS
11
Annexes
Annex 1: Participant List
S.no Participants S.no Participants1. MsRasmiMishra
Trainer Mob:08187999118
2. MsShaliniSinghSakthaks-20/51-7ANepaliKhoti,Varuna Bridge VaranasiCantt221002
3. MrPankajJainSecretaryMinistryofDrinkingWaterandSanitation,GovernmentofIndia
4. MsNilimaAchwalVillgroApt101,SilverSpringsC/447PerryRoad,Bandra(W)Mumbai400050Mob:9833238169Email:[email protected]
5. MsVarshaSharmaEditor/WriterforWSSCCNewDelhiMob:9810275804Email:[email protected]
6. Prof.SushmaYadavProgrammeCoordinatorIndianInstituteofPublicAdministration,NewDelhi
7. MrS.K.SinghVice-ChairmanMeerutDevelopmentAuthority,Meerut
8. DrT.ChatterjeeDirectorIndianInstituteofPublicAdministration,NewDelhi
9. MsSunitaKumariSamantaAssistant Engineer DrinkingWaterandSanitationDept.JharkhandMob:8987473741Email:[email protected]
10. MsBhagwatiSharmaNBA,PHED,GARIYABANDMob:8085542821Email:[email protected]
11. MsShaistaKhanamState TrainerU.P. NRHMMob:09415474359Email:[email protected]
12. MsSatyaSuyaDasikaDirector,ProgrammesKnowledgeLinksPvtLtd.KA-54,1stFloor,Kaushambi,GhaziabadMob:9810516216Email:[email protected]
13. MrJamaMohammadProjectManagerArthikAnusanthanKendraDewariNaditeer,Haliya,MirzapurU.P.Mob:9793817860Email:[email protected]
14. MsRenukaPatelTraining&HygieneSpecialistBilaspurMob:8109298988Email:[email protected]
MENSTRUAL HYGIENE MANAGEMENT: TRAINING OF MASTER TRAINERS
12
S.no Participants S.no Participants15. MsDipaliRoy
Training&HygieneSpecialistBilaspurMob:9770160602
16. MsDurgaMandaviMemberofLokShaktiSamajScriSansthan,RajnandgaronDistrict,ChhattisgarhMob:9407782964
17. MsPramilaSharmaMemberofLokShaktiSamajScriSansthan,RajnandgaronDistrict,ChhattisgarhMob:7587303890
18. MsSaritaTyagiGaneshpurVillage,Mawana,Meerut U.P.Mob:9690439637
19. MrAjayKumarSecretary,SatyakamManavsewasamiti,H-99Ganganagar Meerut U.P. Mob:9410814135Email:[email protected]
20. MsPrachiAryaSatyakamManavSevaSamiti,H-99GanganagarMeerut U.P. Mob:9897265724Email:[email protected]
21. MsRuchiSatyakamManavSevaSamitiH-99,GangaNagar,MawanaRoadMeerut250001,U.P.Mob:9769941556
22. MunmunDeyProgrammeOfficerNEEDS,Jharkhand–814112Mob:07781002447Email:[email protected]
23. MrSarbaniBhattacharyaDocumentationCoordinatorForceC-8/8035,Vasantkunj,NewDelhiMob:8745017932Email:[email protected]
24. MrRaghubirSinghDistrictProgrammeManager43MadhubaniColony,MoradabadMob:8005193077Email:[email protected]
25. MsSeemaPandeyAsst.ProjectCoordinator175,BangaliColonyKanapurMob:8400998031Email:[email protected]
26. MsReenaToppoChiefCommunityMobilizerGlobalSanitationFund,LokJagritiKendra52BighaMadhupur,Deoghar815353,JharkhandMob:09431734467Email:[email protected]
27. MsPyariKiskuCommunityMobilizer,GSFProjectIDENT,Dumka,SIYPahar,S.P.College,DumkaMob:09572895220
28. MsShamimFacilitator5/27AJangpura,BMathuraRoad,NewDelhiMob:9718193626Email:[email protected]
29. MsBhartiFacilitator5/27AJangpura,BMathuraRoad,NewDelhiMob:9718724748Email:[email protected]
30. MrJanardanSinghProgrammeCoordinatorMDSSVDA,Flat(NearKachahari)MirzapurDistrict,U.P.Mob:09450244259Email:[email protected]
31. MsRajeshKumariMPFMeejapurMob:9897210504
32. MsVandanaTayagiMPFMeejapurMob:9557310778
MENSTRUAL HYGIENE MANAGEMENT: TRAINING OF MASTER TRAINERS
13
S.no Participants S.no Participants33. MrShivendraPratapSrivastav
ProgrammeManagerSamajKalyanEvamBalVikasParishadBiraichi,Biraicha,Ghughli,MaharajganjU.P.Mob:9935202321Email:[email protected]
34. MrDepinderS.KapurIndiaWashForum,NewDelhi
35. MsRitaUrwashiFacilitator(MRYDO)81ABlockBPhaseIIIPremNagarNaiapgarhMob:9213301409Email:[email protected]
36. MrRupeshKumarRathureStateConsultant,CCDU,EngineerinChief,PublicHealthEngineeringDepartmentnearBhavan,civillinesRaipurMob:09229260444Email:[email protected]
37. MsBhartiKushwahCLTS,MPMob:7354890353
38. MsSanjuSharmaMob:7415152325
39. MrMadhurimaMasihNandaRegionalConsultantCCDU,OfficeofSuperintendingEngineer,DurgCircle(C.G.)Mob:9407694312Email:[email protected]
40. MrSaurabhKushwahaProjectCoordinatorShramikBharti,392VikasNagar,KanpurMob:7897992895Email:[email protected]
41. MsSeemaSavitaCommunityFacilitatorMob:9198897533
42. MsGitaCommunityFacilitatorMob:9198897533
43. MsMridulaYouthOrganizerNewDelhiMob:9810758144
44. MrDurgeshMallDistrictCommunityProcessManagerDistt.ProgrammeManagementUniteN.R.H.M.,BastiU.P.Mob:9450479232Email:[email protected]
45. MrBalramTiwariRegionalASHACoordinator19,AVidhanSahaMarg,LucknowMob:09335071100Email:[email protected]
46. MsAsitaMaldahiyarProgrammeManagerADITHL,H/0ErK.P.Singh,IASColonywestofcanal,offbialyRoad,PatnaMob:[email protected]
47. MrSabirIqbalCommunityDesignSpecialist,StateWaterandSanitationMission,NBA,OfficeofDevelopmentcommissioner,VindhyachalBhavan,2ndfloor,room-126BhopalMob:9669494594Email:[email protected]
48. MsSumanSinghSecretarySAKHI,Mtsyanagar,Bhagwtipur,PO-Rudrapur,AndhrathaiMob:09431021204Email:[email protected]
49. MrKumarPankajAnandDistrictProgrammeManager,DPMU,NRHM,U.P.Mob:9415390387Email:[email protected]
50. MsRadhaShukalCoordinator392,VikashnagarLokhanpur,KanpurMob:9935535682Email:[email protected]
MENSTRUAL HYGIENE MANAGEMENT: TRAINING OF MASTER TRAINERS
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S.no Participants S.no Participants51. MsSultanaUsmani
AdvocatingReproductivechoicesStateConsultant,C-142/C2,SectorAMohanagar,Lucknow,UPMob:9839837395Email:[email protected]
52. MrBikramadityaSenSecretaryANGELC/0MainroadBorioPostBorio,DisttSahebganjMob:8102559081Email:[email protected]
53. MrSanjeevKumarBhagatDirectorLokKalyanSevaKendra,At+PoDevinagar,MahaeshpurMob:943136848Email:[email protected]
54. MrJasvinderkaurForceFieldAreaInchargeMob:8447120303Email:[email protected]
55. MsRashmiSinghSocialMobiliserSakhi,Matysanagar,Bhaghwtipur,AndharathodiMob:8252445447Email:[email protected]
56. MrPurusottamPandaRegionalConsultantAt-CCDU-PHEDChhattisgarhMob:7898804289Email:[email protected]
57. MrSantoshPantUttarakhadAcademyofAdministration,NainitalMob:9720988129
58. MrSureshAryaUttarakhadAcademyofAdministration,NainitalMob:9410374441
59. JaspreetKaurSub-divisionalEngineerWaterandsanitationDivision.Bhatinda,Punjab
60. GirirajSharmaCLTSChampionGuna,MadhyaPradesh
61. VeenakshiSharmaDirectorCCDU
62. BirendraKochar
MrAnchalPrakashExecutiveDirectorSaciWaterSouthAsiaMob:961884459Email:[email protected]
MrKrishanaRamavatTeamGoonjNeelkaninHotal119,Gangori,Uttarkashi,UttarakhandEmail:[email protected]
MrShivanginiTandonConsultant,SKARMA,MIT,GreenParkMain,NewDelhiMob:9967788899Email:[email protected]
MsArchanaPatkarProgrammeManager,NetworkingandKnowledgeManagementWaterSupplyandSanitationCollaborativeCouncil,GenevaEmail:[email protected]
MrVinodMishraNationalCoordinatorWaterSupplyandSanitationCollaborativeCouncil,GenevaMob:9411107760Email:[email protected]
Listofresourcepersons
MENSTRUAL HYGIENE MANAGEMENT: TRAINING OF MASTER TRAINERS
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Annex 2: Training Programme
Time Session FacilitatorsDayOne:24September,2013
9.00-9.45 Registration9.45-11.00 Inauguration9.45 Nationalanthem
WelcomeandIntroduction VinodMishra10.00 TrainingofTrainers’Overview ArchanaPatkar10.25 WelcomebyDirectorIIPA T.Chatterjee,Director,IIPA10.35 GovernmentofIndia’svisionandstrategy:Menstrual
Hygiene Management in NBAPankajJain,Secretary,MinistryofDrinkingWaterandSanitation,Govt.ofIndia
11.00 VoteofThanks Prof.SushmaYadav11.10 Teabreak11.30 MHM:Whatisit?Whatdoyouknowaboutitand
whyisitimportant?Participantanalysis(film)Archana/Krishna/Nilima
12.30 Feedbackanddiscussion13.30 Lunch14.30 Conceptualframework Archana/Nilima16.00 Teabreak16.15–18.00 Groupwork
Sixgroupsworkon:1)BreakingtheSilence(VinodandVarsha);2)ManagingMenstruationHygienically(NilimaandArchana);3)SafeReuseandDisposal(KrishnaRamawat)
DayTwo:25September,201309.30-11.00 FeedbackfromGroupWorkandReflectionsfromDay111.00-11.30 Teabreak11.30-13.30 TrainingofTrainersManualLearningUnits1,2,3,4,6
and7–12groupsoffiveeachreadanddiscusswithfacilitatorfor45-minutesandthentrainpartnergroupLeadtrainerandco-trainermanagefirst10minutes,thenswitchrolestorapporteurandobserver.Recordingdifficultiesandquestionsismainlearningpoint.Exchangeroles–trainerbecomestrainee.Shareexperiences.
13.30 Lunch14.30-15.15 Plenary–LearningUnit5–stakeholderanalysisand
institutionsforNRHM.15.15-16.00 CommunicatingsensitivetopicssuchasMHM–
LearningUnit816.00 Tea16.30-18.00 LearningUnits9and10(KrishnaandNilima)
MENSTRUAL HYGIENE MANAGEMENT: TRAINING OF MASTER TRAINERS
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DayThree:26September,201309.30-10.30 MHMLAB–MCKiPatshala–conceptandvision10.30-13.30 Groupworkandtea–threelargegroupsfollowed
bysixsmallergroups–MHMloopusingalltrainingmaterials–wheel,flipbook,etc.–rotatewithhealthpractitioners’training
13.30-14.30 Lunch14.30-15.00 Participantfeedbackandreflections15.00-16.30 Monitoringparticipation,qualityandevaluationof
impact16.30 Teabreak17.00-18.30 Participantideasontheme,interactionwithdirector,
NBAandwayforward
DayFour:27September201308.00-12.00 Workingsessionson:1)Finalreporting;2)Participant
suggestionsandrecommendations(materialandtrainingrolloutintheirstates),staterolloutin2014–workplans,M&Eplans
13.00 Thankyou–WSSCCNationalCoordinator13.30-14.30 Lunch
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Annex 3: State Action Plans
OnbehalfofActionIndiaWorkArea:NineareasinDelhi,namelyDakshginpuri,Madangiri,DwarkaSector-16,NewSeemapuri,KalandarColony,Sundernagri,Jahangirpuri,Bhalswa,JantaMajdoorColony(Welcome).
TargetGroups:
n 9to12yearsgirls’Nanisablagroup
n 13to20yearsgirls’G.L.Igroup
n 9to12yearsboys’Tarungroup
n 13to25yearsboys’youthgroups
n 25to40yearswomengroupsandcommunityworkers
Trainers:Youthorganizers,facilitators,youthleaders.
ActivitiesandMediums:Meetings,groupdiscussions,focusgroupdiscussions,streetplays,roleplay,IECmaterial,flashcards,surveys,etc.(monthlymenstrualcyclemoduleandfilm).
TargetNumbers:
n 1000girlsandboys
n 1000womenaged25-40
Timeduration:18months(startingfromNovember,2013)
Stakeholders:ASHA,ANM,Anganwadiworkers,GRC,governmentdispensary,MCDschools,NigamParshad,counsellorsandNGOnetwork.
Resources:Menstrualhealthandhygieneexperts,ActionIndiafacilitators,NBYguidelines.
Methodology:FocusGroupDiscussions.Forthefirstsixmonthsinformationwillbeprovidedonmenstrualhealthandhygienetothetargetgroups.Overthenextsixmonthseachworkareawillbevisitedandchangesinthetargetgroups’habitswillberecorded,basedontheinformationtheyreceived.Oncethisprocesshasended,researcherswillreturntothefieldtoreviewhoweffectivelyeachgrouptheypassedontheacquiredknowledgetotheircommunities.
Evaluation:Atthestartoftheprocessasurveywillbeconductedtoascertainthelevelofinformationthegroupshaveontheissue.Attheendoftheprocess,afollow-upsurveywillbecarriedouttomeasuretheincreaseintheirknowledgeandpractice.Thegroupswillalsobeassessedonthepracticestheyarefollowing,theirsexualhealthandhowmuchtheyhavereachedthelargercommunity.Peereducatorswillbetrainedineachcommunitytofacilitatethesurveys,GDsandFGDsintheirrespectivecommunities.
1 DelhiPlan
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Name Designation&Org.
Responsibilities OperationalField Stakeholders AvailableResources
ShivendraPratapSrivastav
P.M.SKBVP
CoordinationDocumentationPublication
HealthWaterEducationSanitationEnvironmentProtection
SchoolsNGOsPRIsSHGs
HRVehiclesTraining Centre
RashmiMishra FieldAnimatorNGO
ChildRightWomenHealth
EducationNutritionHealth
ANMsASHAsPRIsSchoolsAWWs
Staff
Vandana Tyagi & RajeshKumari
TrainerNGO
SHGsformationMHMImmunization
Health ASHAsANMsAWWSchoolsGovernmentCommunity
StaffTraining Centre
JamaMohammad PCNGO
Training Health,Sanitation,Hygiene,MHM
ASHAsANMsPRIsSchoolsGovernmentCommunity
StaffTraining Centre
Surabh PCNGO
Coordination WaterSanitationHygiene
ASHAsANMsAWWSchoolsGovernmentCommunity
Staff
Seema SHGMember Facilitation SolarEnergy ASHAsANMsCommunity
_
Seema Pandey Asst. PCNGO
CoordinationFacilitation
WaterSanitationHygiene
ASHAsANMsAWWSchoolsSlumCommunity
FundsfordrinkingwaterMaster Trainers
Radha ProjectCoordinatorNGO
CoordinationFacilitation
WASHHealthLivelihoodEducation
CommunityPRIs
Radiostation
Groupprofile
2 UttarPradesh(NGO)Plan
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StrengthsThepresenceoftheelementsidentifiedinthediagrambelowareseenasbeingstrengthstotheUtarPradeshGroup.
2 UttarPradesh(NGO)Plan
Group Well-experiencedstaff
WASHHealth
EducationLivelihood
Villages–450Slums–150
ASHAsANMsSchools
Slumcommunity
MENSTRUAL HYGIENE MANAGEMENT: TRAINING OF MASTER TRAINERS
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Issue Rural ResponsibilitiesAwareness 1-2marksoutof10 4marksoutof10Infrastructure 1markoutof10 5marksoutof10Facilities 1markoutof10 1markoutof10Myths/Taboos 9marksoutof10 6-7marksoutof10
Member CommitmentsShivendraPratapSrivastav n HolisticapproacheswithSchoolManagementCommittee(SMC)
n SHGstrainingandempoweringtheirlivelihoodsthroughsanitarypadmakingn SharingwithFriendCircle
RashmiMishra n EstablishmentofBalSanrakashanSamitin CBOs trainingn SharingwithFriendCircle
VandanaTyagi&RajeshKumari n MHMtraininginfivevillages,throughindividualeffortsn AtleastonesessiononMHMineverytrainingn Buildingrelationshipswithadolescents
JamaMohammad n EngagingstaffandvolunteersinMHMprojectn Formationofvillagelevelcommitteen SMClevelapproach
Surabh n Raisingawarenessthroughsocialmedian Literaturen School,communitiesandASHAslevelapproaches
Seema n MeenaMunchn ASHAslevelapproachn EngagementofPRIs
Seema Pandey n TrainingonMHMin24Schoolsn TrainingonMHMin60slumsn Counsellingadolescents
Radha n Literaturen Useofdocumentaryfilmsn 30Volunteerswillbeengagedinthisprogramme
Situationanalysis
Threecommitmentsfromeachmember
2 UttarPradesh(NGO)Plan
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Plan
EvaluationTheapproachtotheevaluationprocesswillbedrivenbyanassessmentofthefocusgroupdiscussionsandtheelementsconcerningtraining.
Activities Responsibilities Timeliness Resources WSSCC StakeholdersFGDs Self Threemonths Trainer/Facilitator Learning Materials Staff
SchoolsTeachersASHAsANMsCBOs
Training Selfandstateleveltraining
One-year 1. Trainer2. Training Centre
1.TrainerHonoraria2. T.A.3.Communication
Asabove
MassMobilization Self Six-months Radio IECandotherlearningmaterials
Asabove
FGDS
No.ofvillages/slums
No.ofFGDS
No.ofparticipants
Training No.ofParticipants
No.ofTraining
Pre-andpost-assessment
Feedback
MassMobilization:No.ofreleasedprogramme
2 UttarPradesh(NGO)Plan
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3 UttarPradeshNRHMPlan
Nameofmembers:Sultana Usmani Durgesh JanaradanRaghuvirSingh Shaista ShaliniPankaj Balram
NRHMteamU.P.
WorkplanActivities Responsibilities Timeliness Resources WSSCC StakeholdersStateAdvocacy StateNodal
Officer(Adolescenthealth-NRHM)
One-day(October)
UNICEF/NRHM WSSCC DPMUHealthICDSEducationalInstitutionWASH
DistrictAdvocacyTraining
DistrictManagement Unit NRHM
Three-days(December)
NRHM/UNICEF TechnicalSupport DevelopmentDepartment
Counsellingin35District
Asabove Asabove UNICEF WSSCC DHEIODPMDCMNGO
AdvocacyatBlock/Village/
DPMU/NGOs One-threedays(February2014)
Funds/Resources Asabove Govt.Girls’SchoolsHEONGOsANMAWWASHAs
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4 UttarPradeshGovernmentPlan
U.P.workplan(govt)GROUP MEMBERS1-SultanaUsmani NRHM
2-RaghubirSingh [email protected] 8005193077 9412470894 NRHM3-Pankaj NRHM4-Durgesh NRHM
ACTIVITIES WITH TRAINING
IntersectoralconvergencemeetingatstatelevelICDS,Education,PRI,HealthWaterCorpn,MunicipalCorpn,WaterCorpn,NGO/devpartner,NYKState,distt,blockleveltotuptofrontlineworker
STATISTICAL DATA District -75Batchsize=30participants
AWW 165000ASHA 135000ANM 2250
COOPERATION 1-WSSCC2-UNICEF3-GovtDept4-NGO5-Stakeholder
RESOURCES Trainingtoolsincludingmodules
M&E StatelevelobservationwiththehelpofdistrictlevelNRHMstaffVisitbythestatelevelmastertrainer
MENSTRUAL HYGIENE MANAGEMENT: TRAINING OF MASTER TRAINERS
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5 MadhyaPradeshPlan
Nameofmembers:SabirIqbal–StateConsultant:[email protected]
SmtBhartiKuswahaCLTSMotivatorFacilitatorandTrainerDistrict:Guna
SanjuSharmaCLTSMotivatorFacilitatorandTrainerDistrict:Guna
SabirIqbalCommunication,MaterialDesignandTrainingSpecialist,StateConsultant,M.P.
Team
MHMalignmentwithWASH&healthtraining
CLTSMotivator JalaevamSwatchta Vibhag(TSC/PRD)
Village&Blockleveltraining Village&Blockleveltraining
ASHA,ANM,AWW,teacheretcatStateandDistrictleveltraining
SwatchtaDoot
(S.D.)
MENSTRUAL HYGIENE MANAGEMENT: TRAINING OF MASTER TRAINERS
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5 MadhyaPradeshPlan
Sanitationhygieneadvocacyandcommunicationstrategy,includingMHM
StateLevel
StateprogrammeOffice(SPO)-NBA
BlockLevel
CEO Zila Janpad
NBABlockCoordinator
GramPanchayatLevel
Swatchadoot
DistrictLevel
CEOZilaPanchayat
NBADistrictCoordinator
Reportandinformationflow
Instructionflow
Supportivesupervision&datavalidationafter6months
GPNodalOfficersupervision
Quarterlymeeting
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Activity:Meetingwithtargetgroupintargetarea
n MHMawarenessprogramme
n Liaisingwithsahiya/aganwariworker/change-makerindifferentarea
n Liaisingwithprojectmanagementunits/departmentsothattheycanissueacircularonMHMprogressintheState
n MakemonthlyprogressreportsbasedonM&Ewithlocalindicators
n Linkagewithtraditionalbirthattendants/villagehead,especiallyintribalarea
Keystakeholders:
n Trainedworker
n Donoragency/projecthead
n Workinggroup
n Changeworkers
Duration:Oneyear(October13,2013–September14,2014)
Resource:Toolkits,stationary,displaymaterials,TA/refreshmentcosts
Corporationrequirement:WSSCCTeam/CCDUJharkhand/NGOshead/PMUJharkhand/WASHForum
Relatedstakeholder:Workers/Sahiya/AWW/community/healthdepartment/officials/PRI
6 JharkandStatePlan
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Activity:
1. Communityawarenessandmobilisation
2. AdvocacyforMHMatstate/district/block/panchayat
3. Trainingatalllevels
a.Asondemandasatrainer
b.Ourprojectlevel
4. Listeningandcoordinationwithgovernment/community/school/etc.
5. Actionresearch
Responsibility:Aditi,Sakhi,government
Timeline:One-year
Resources:Governmentandotherfunders,materials(training),audio/video/resourceperson
Supportneeded:Government,policymakers,communityandotherchampions(WSSCC)
Stakeholders:Alllinedepartments/PRI/District/Block/Panchayat/VHSC/SHG/community/NGOs/womencooperative/VISWASHstatenetwork
Impact:
n IncreaseunderstandingaboutMHM
n Increaseparticipationatalllevels
Mostimportant
Behaviourchangeininterventionarea:
n 50%girlsandwomenusesanitarynapkins
n 50%girlsandwomentakecareofthemselves
n Increaseinhandwashingpractices
n Increaseinsafedisposal
n Casestudiesofbestpractices
n DecreaseinUTIcases
7 BiharPlan
Nameofmembers:Aditi [email protected] 9334750500Sakhi [email protected];[email protected] 9431021204
Interventionarea–Patna,Maner,Madhubani,BL–Jhanjharpur/Andhrathari
MENSTRUAL HYGIENE MANAGEMENT: TRAINING OF MASTER TRAINERS
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8 ChhattisgarhPlan
SL.NO.
ACTIVITY RESPONSIBLE TIME RESOURCES SUPPORTREQUIRED
RELATEDSTAKEHOLDERS
1. AdvocacyofDecisionMakers
CommunicationandCapacityDevelopmentUnit(CCDU)
By Jan 2014
Funds/Materials
ProtocoltypeofWaterSupplyandSanitationCollaborativeCouncil(WSSCC)
State Water andSanitationMission(SWSM)/DistrictWaterandSanitationMission(DWSM)
2. CapacityBuildingofMasterTrainers
CommunicationandCapacityDevelopmentUnit(CCDU)
ByMarch2014
Funds/Materials
ProtocoltypeofWaterSupplyandSanitationCollaborativeCouncil(WSSCC)
AssistantEngineer,ExecutiveEngineers&CoordinatorsofPublicHealthEngineerDepartments(PHE)
3. DevelopmentofTrainingModulesonMHM
CommunicationandCapacityDevelopmentUnit(CCDU)
ByFeb2014
Funds/Materials
ResourcepersonshouldbefromWaterSupplyandSanitationCollaborativeCouncil(WSSCC)
BlockResourceCoordinators/SwachhataDootfromPublicHealthEngineerDepartments(PHE)
4. IncorporationofincineratorsinSLWMPlanofGramPanchayat
CommunicationandCapacityDevelopmentUnit(CCDU)
ByDec2013
FundsflowfromSolidLiquidWasteManagement under Nirmal BharatAbhijan(NBA)
ResourcepersonshouldbefromWaterSupplyandSanitationCollaborativeCouncil(WSSCC)
Village Water and SanitationCommittee(VWSC)/BlockWaterandSanitationCommittee(BWSC)/DistrictWaterandSanitationCommittee
5. IncorporationofIECactivitiesonMenstrualHygiene Management under Annual ImplementationPlan2014-15
DistrictWaterandSanitationCommittee(DWSC)
ByMarch2014
FundsUnderIEC under Nirmal BharatAbhijan(NBA)
ResourcepersonshouldbefromWaterSupplyandSanitationCollaborativeCouncil(WSSCC)
DistrictWaterandSanitationCommittee(DWSC)
6. DevelopmentofIECmaterialsonMenstrualHygiene Management (MHM)
CommunicationandCapacityDevelopmentUnit(CCDU)
By April 2014
Funds ResourcepersonshouldbefromWaterSupplyandSanitationCollaborativeCouncil(WSSCC)
FrontLineWorker/BlockResourceCentre/SwachhataDoot
7. UseofRadioProgramme
CommunicationandCapacityDevelopmentUnit(CCDU)
By April 2014
Funds RadioSpot AdolescentGirlsandWomen
8. ConvergenceWorkshopatStateLevel
CommunicationandCapacityDevelopmentUnit(CCDU)
By April 2014
Funds UNICEF/WaterAid Health(NRHM)/Education/W&CD/RuralDevelopment/NGO
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8 ChhattisgarhPlan
SL.NO.
ACTIVITY RESPONSIBLE TIME RESOURCES SUPPORTREQUIRED
RELATEDSTAKEHOLDERS
1. Advocacyofdecisionmakers
Carmdaksh ByNov2013
WaterAid Materials andtheirMHMwork
ProtocoltypeofWSSCC
Frontlineworker,SHG
2. CapacitybuildingofMasterTrainers
Carmdaksh Cont. Funds/Materials
ProtocoltypeofWSSCC
Carmdakshteam,frontlineworkervillageleader,CRP
3. DevelopmentoftrainingmodulesonMHM
Carmdaksh ByOct2013
Funds/Materials fromWaterAid
ResourcepersonshouldbefromCCDUand WSSCC
CarmdakshMHMTeam,frontlineworkervillageleader,CRP
4. DevelopmentofmaterialsforMHMprogramme
Carmdaksh Cont. FundsfromWaterAid and NEEDS
ResourcematerialshouldbefromWaterAid and WSSCC
AdolescentgirlsandSHGwomen,withaspecialfocusonmen
5. Useofdocumentaryprogramme
Carmdaksh ByFeb2014
Fundsrequired
Radiospot Adolescentgirls,womenandmen
WorkplanforimplementationonMHMProgramme09893114529(DeepNarayanBennergi–[email protected])
State:Chattisgarh
Organization:Carmdaksh(NGO)andLokShaktiSmajsewaSanstha
CarmdakshworksonanMHMprojectinpartnershipwithWaterAid.TheirinterventionareasareBilaspurDistrtict,RaigarghandKorbainCG,wheretheyfocuson28villages,21schoolsand6,500householdsatPaliblock,butneedadditionalsupporttomakeimprovementsinotherareas.
WATER SUPPLY AND SANITATION COLLABORATIVE COUNCIL 15 Chemin Louis-Dunant1202 GenevaSwitzerland
Telephone: +41 22 560 8181 Fax: +41 22 560 [email protected]
TheWaterSupplyandSanitationCollaborativeCouncil(WSSCC)The Water Supply and Sanitation Collaborative Council (WSSCC) is a global multi-stakeholder partnership and membership organization that works to save lives and improve livelihoods. It does so by enhancing collaboration among sector agencies and professionals who are working to improve access for the 2.5 billion people without safe sanitation and the 780 million people without clean drinking water. Through its work, WSSCC contributes to the broader goals of poverty eradication, health and environmental improvement, gender equality and long-term social and economic development. WSSCC supports coalitions in around 20 countries, members in more than 160 countries, and a Geneva-based Secretariat hosted by the United Nations Office for Project Services (UNOPS).
TheIndianInstituteofPublicAdministrationThe Indian Institute of Public Administration (IIPA) is a premier public policy school for public administration studies and one of the major social science resources in India. Since its inception in 1954, the IIPA has been at the forefront of academic work that has contributed to enhancing the managerial and leadership qualities of executives, policymakers and public officials in India. Enhancing leadership and managerial qualities on the one hand and developing a service-orientation on the other are the thrust areas of the Institute’s education and training activities. A key product of the IIPA is the internationally known ‘Indian Journal of Public Administration’ which has been published since 1955. IIPA has published over 400 books, monographs and reports. The current President of the IIPA is the Vice President of the Republic of India, Mohammad Hamid Ansari. For more information on the IIPA, go to http://www.iipa.org.in/index.html.