PRACHAR Activities, by Project Phase
| PRACHAR Strategies and Interventions | Target Level | Implementer(s) | Phase I | Phase II | Phase III | ||||
|---|---|---|---|---|---|---|---|---|---|
| Comprehensive3-yearmodel | Comprehensive 5-yearmodel (continued for 2years beyond Phase I) | Comprehensive2-year model | Homevisitsonly | Volunteersonly | Trainedcouplesonly | 2-yearmodel withASHAs | |||
| Interventions with adolescents, young couples, key influencers, and communities to increase support for RH practices and use of services | |||||||||
| Small-group education on RH with adolescent girls (aged 12–14 years), and unmarried girls and boys aged 15–19 years | Individual | Trainers from NGO training partner | X | X | X | – | – | – | X |
| Counseling on RH/FP and referrals to FP services through regularly scheduled home visits to married young women with no children, married young women with first pregnancy, married postpartum young women who delivered their first child, married young women with 1 child | Individual | Phase I and II: Female Change Agent Phase III: ASHA | X | X | X | X | – | – | X |
| Home visits to women and men (whenever possible, without a regular schedule) and referral by female and male volunteers (rather than paid change agents), respectively | Individual | Male and female community volunteers | – | – | – | – | X | – | – |
| Outreach to young couples by other trained young couples (rather than change agents, peer–to-peer outreach approach) | Individual, young couples | Male and female members of young couples | – | – | – | – | – | X | – |
| Newlywed couple ceremony/infotainment parties | Young couples, Group | NGO training partner | X | X | – | – | – | – | – |
| Small-group discussion and dialogue on RH and contraception, and referrals to health services, separately to young married women and married men | Group | Phase I and II: Female Change Agent, Male CommunicatorPhase III: ASHA, Male Communicator | X | X | X | – | – | – | X |
| Orientation and training of community leaders and influencers on RH for young people | Community | NGO intervention partner | X | X | X | – | – | – | – |
| Group meetings and infotainment programs for mothers and fathers of young married men (the mothers-in-law and fathers-in-law of young married women) | Community | NGO intervention partner | X | X | X | X | X | X | – |
| Street theater performances | Community | NGO intervention partner | X | X | X | – | – | – | – |
| Wall paintings | Community | NGO intervention partner | X | X | X | X | X | X | X |
| Improving access to RH services | |||||||||
| Support to monthly MCH clinics by providing government ANMs with training and support, essential instruments, and recordkeeping tools. | Community | Phase I and II: NGO intervention partner, Anganwadi Worker, ANM (Government) | X | X | X | X | X | X | – |
| Training of rural health practitioners on RH and FP issues | Community | NGO training partner | X | X | X | X | X | X | – |
| Training of TBAs on safe delivery, counseling on postpartum contraceptives, and referral of pregnant women with complications | Community | NGO training partner | X | X | X | X | X | X | – |
| Training of chemist outlets and village convenience shops on FP and connecting them with social marketing agencies to encourage regular stocks of condoms and pills | Community | NGO intervention partner | X | X | X | X | X | X | – |
Abbreviations: ANM, auxiliary nurse-midwife; AHSA, accredited health social activist; FP, family planning; MCH, maternal and child health; PRACHAR, Promoting Change in Reproductive Behavior of Adolescents; RH, reproductive health; TBA, traditional birth attendant.