Sector Wide Approach to Strengthening Health ( SWASTH )

Bihar Technical Assistance Support Team (BTAST)
Government of Bihar initiative supported by Department for International Development, UK


Voices from the Field

Khaira villagers support PHED to set up two mini water supply plants and a Water Vending Machine (also called as water ATM) to avoid consumption of fluoride contaminated groundwater.

The success of community-based management of acute malnutrition (CMAM) depends on community mobilisation and early case finding in vulnerable areas.

As part of its Sector Wide Approach to Strengthening Health Programme (SWASTH) programme supported by the Department for International Development (DFID, UK) and the Bihar Technical Assistance Support Team (BTAST), GoB through WDC has been working since 2011 to strengthen the state response to VAWG.

The overall objective of the Assessment in 28 districts of Bihar was to undertake a review of RKS, in terms of its operational processes, funding structure and best practices.

This guide is intended to inform organisations and individuals wishing to implement Gram Varta or become involved in monitoring and supporting activities.

This summary presents the findings from a second assessment undertaken in 2015 to determine the Helplines’ functionality, effectiveness and efficiency, and the outcomes they have achieved for women victims of violence, and areas for further improvement.

An assessment of the CLTS models implemented by BTAST, through the SWASTH programme was undertaken to understand the processes followed within each of models. The aim was also to assess the extent to which it was possible to meet the CLTS goal of making the villages Open Defecation Free (ODF).

The Government of Bihar (GoB) setup the Manav Vikas Mission (MVM) for 2013-17 with an aim to introduce a range of interventions that facilitate holistic development of human potential in each individual, especially those belonging to the most disadvantaged groups. Bal Kuposhan Mukt Bihar (BKMB) campaign is one out of several initiatives taken up by the different departments of GoB to support MVM. The strategy included - communication for behavioural change; capacity building for providers; improving community’s access to services; enlisting community participation; and encouraging a collective approach. The three key activities of the BKMB campaign included – training of Integrated Child Development Services (ICDS) functionaries, provision of equipment and supplies to the Anganwadi Centres and an behaviour change communication campaign for community people.

This knowledge management strategy for SWASTH is designed as a framework for guiding the knowledge collation and dissemination activities of BTAST. With a view to provide an effective knowledge base that can support universal, equitable and integrated health outcomes across communities, this strategy aims to harness the learnings from SWASTH in the areas of health; nutrition; water, sanitation and hygiene (WASH); and gender as a cross-cutting concern.

This programme report has been developed to describe the water quality testing systems of the Public Health and Engineering Department, particularly with regard to the initiative taken up by the Bihar Technical Assistance Support Team under the SWASTH programme, aiming to ensure safe and sustained water supply in each and every household. It draws from secondary sources as well as information gathered through discussions with community members and other stakeholders involved in the initiative. Field level information was gathered from two districts of Bihar - Gaya and Arwal.