On April 21
this year, Government of India recognized a significant movement in
Chhattisgarh by honouring ex-collector of Suguja district, R. Prasanna, with
Prime Minister’s award for Excellence in Public Administration. The award was
given for the initiation of Surguja Fulwari Initiative, seeking to set up
day-care centres called fulwaris (a small garden) for children below three
years. (They also serve as nutrition, weight monitoring and information centres
for pregnant and lactating mothers). It is an idea that the state government
has since expanded to 89 tribal blocks across the state.
The
programme was launched in the face of dire statistics. In 2011, one out of
every ten children in Surguja could expect to die before (s)he turned 5, mainly
from malnutrition and related complications. Half the children in the district were
classified as malnourished. The composition and quantity of food available to
the babies clearly needed attention, as did a variety of feeding,
social-emotional stimulation and other critical child-care practices. Prasanna
imagined a programme of voluntary community action, supported through
Panchayats, to supplement government’s existing nutrition programmes.
In this, he
found a ready resource in State Health Resource Centre of Chhattisgarh (SHRC).
SHRC had created a high quality training, development and support structure for
the 70,000-strong Mitanin cadre of community health workers in Chhattisgarh.
This was tailor-made for direct access to communities in attempting a change of
practice and creating more empowered communities.
The
programme thinks big. Coming from a civil servant, it is noteworthy for the
belief it places in the ability of communities to take charge of their affairs
and run them collaboratively. It not only imagines the community running the
day-care centres with only financial help from the government, it also seeks to
integrate this with improvement in cultivation practices and natural resource
management. The belief, of course, is that all of these different strands are
necessary for dealing with the malnutrition crisis at its root.
Towards
this end, the cadre of Mitanins and their facilitators have undertaken
extensive community contact, seeking to communicate the objectives of the
programme. Since a fulwari can be set up only if the community agrees to
operate it, a formidable amount of consensus-building at the hamlet level is
necessary. While this means that this initiative does not roll out at the speed
of a typical government programme, the community empowerment and collaboration processes
it fosters at the local level are highly meaningful. In 2013, an initial 300
fulwaris were set up. By now, these have expanded to nearly 3,000 across the
state.
Community-driven
programmes must deal with their own challenges and the fulwari programme has seen
plenty of them. Perhaps the most formidable is common to most government
programmes, especially where community has a significant role: the flow of
funds from the government tends to be erratic. This forces the local
communities to pool in scarce resources to run them as long as they can before
closing down temporarily and, in rare cases, permanently.
Other
challenges also exist. Consensus-building is hard; maintaining it is much
harder. Those involved must commit themselves to on-going dialogue. Caste and
class divisions in the hamlet are put to test starkly in the fulwaris as
children and adults mingle in one space. Sometimes, they overwhelm; more often,
communities have found enough goodwill to carry on. As anywhere else, there are
contributors and there are free-loaders; they must maintain enough civil
interaction for the whole to function smoothly.
In the face
of all of this, it is quite extraordinary that more than two-thirds of the
fulwaris opened remain functional. In those that do, the immense possibilities
of government action coupled to community responsibility are visible every day.
And even where they have closed down, the community learnings from the
experience ensure that the next wave of initiatives will find a much more
fertile soil.
Disclosure:
Centre for Learning Resource (CLR), where I serve as Director, has been
associated with the fulwari programme for over two years. With UNICEF support,
we began in 2013 with a baseline survey of the child-care situation in Surguja.
Subsequently, we have been involved with designing the structure of a typical
day in the fulwari and a process for developing the capacities of the mothers
running the fulwaris.
Our involvement seeks to ensure that each day, the
children receive a comprehensive experience of joyful growing-up; wholesome
food eaten with attention to hygiene, lots of play and play materials, lots of talking
and story-telling and lots of affection. It also seeks to create conditions for
pregnant mothers to receive advice on wholesome child-care (as well as their
own care) even before the child is born.
For all of us at CLR who have been
involved, it is a joy to have had the opportunity.