Download the complete report - Unicef

Mitanin Support Structure: Key to the Success of the
Programme
Mitanin Trainer (MT) : One for every 20 Mitanins (total 3100)
Block Coordinators : Two for every block (total 294)
Block Nodal Person : One per block (total 146 from Govt. side)
District Coordinator : One for every district and 2 for bigger districts (total 35)
Members : Seven in every SHRC
To strengthen support structure, regular ongoing trainings are provided, similar to those
received by Mitanins (50 days over 16 modules). Currently, 17 th module is in progress.
The support structure received additional two days training on Supportive Supervision
with a view to creating self-image of Mitanin Trainer as “Trainer”/“Facilitator” as opposed
to “boss”/ “data-collector”.
Mitanin Trainers: They provide training to Mitanins in residential camps and onthe-job
training and Supportive Supervision to Mitanins through home visits, hamletlevel
meetings and cluster meetings; support VHSNCs by facilitating preparation and
execution of Village Health Plans and, record keeping; support Mitanins in availing
benefits of Mitanin Welfare Fund. They are selected from amongst Mitanins of the
cluster through a written test by a Block-level Committee headed by BMO. MT gets
paid by BMO on the basis of number of days of work done. About 90% MTs are women.
Planning and reviewing work of MTs is done through fortnightly Block-level meetings in
which District Coordinator facilitates planning and review, interacts with BMO and other
health staff; Block Coordinators make field visits (1-2 field visit per MT in a month) to
monitor MTs and train them on-the-job; MTs report to Block Coordinators; have a fixed
day schedule for around 15 days a month; submit day-wise plan for each month and
later day-wise work report.
Block Coordinators: They provide ToT to MTs in residential camps; plan Mitanin
trainings with BMO to supervise Mitanin Training; on-the-job training, support in solving
problems and monitoring MTs by participating in home visits, hamlet level meetings,
VHSNC meetings; support District Coordinator for fortnightly meetings, compile
monthly MIS reports; verify monthly work done by MTs; interact with BMO to seek
support for field-level problems; attend one District-level meeting a month. Initial Block
Coordinators were selected from amongst pool of trainers created from civil society.
Now they are selected from amongst MTs through a written test, by a Committee
headed by BMO. About 65% of them are women.
Value addition to the programme
24
MTs maintained motivation levels of Mitanin (According to an Evaluation 80%
Mitanins acknowledged support provided by their MTs); majority of VHSNCs meet
regularly and plan for village health. MTs helped create a link with Panchayats.
Through home visits, 70-80% of newborn, malnourished children, pregnant women,
sick children are covered; campaigns involving mobilisation (prevention of malaria,
screening for suspected TB, Child Nutrition Counselling) work to a large extent; major
motivation for MT comes from social recognition that the role brings as leader of a
team of Mitanins.
Consultation on Supportive Supervision to Strengthen
Capacity of Frontline Workers and Service Providers