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Rajasthan

Recognized as the ‘Land of Kings’ for its regal past of palaces and princely states, Rajasthan builds on a proud history and boasts thriving tourism and industry. Located in India’s west-central interior, the state is home to about 63 million people.

Rajasthan is generally considered a conservative society that still values long-held beliefs and attitudes. Although the state is home to a number of large cities, most people live in rural areas, farming and herding as they have for centuries.

Although women now head many village councils in Rajasthan and female literacy has doubled in recent decades, challenges remain.

The Government of Rajasthan is committed to tackling urgent issues concerning children and women and achieving accelerated progress on social development indicators in partnership with UNICEF. Some of the  major issues confronting the state are high student dropout rate, a large number of children in labour, particularly in the cotton industry,  girls being married before the age of 18 and becoming pregnant soon after, putting the lives of both mother and child at risk. Malnutrition is pervasive across all age groups, especially among girls. 

UNICEF support is largely around the demonstration of models of empowerment for generation of demands, strengthened local self-governance, and improved coverage and quality of basic services to children and women.

The Government of Rajasthan has up scaled a number of interventions which were jointly piloted with UNICEF. This includes LEHAR (Learning Enhancement through Activity in Rajasthan), a programme that institutionalizes joyful learning in primary schools, and life skills education  to adolescent girls in all Kasturba Gandhi Balika Vidyalayas (residential schools for girls from marginalized communities). Together, these interventions are proving to be successful in delaying marriage and motherhood.

New Born Care Units piloted with UNICEF support are being established across the state in a phased manner. As a high percentage of children under three are underweight and anaemic, which puts them at risk of serious illness and even early death, the State Government is working with UNICEF to train anganwadi workers to encourage families to adopt appropriate child care and feeding practices to prevent and reduce malnutrition. Special centres for severely malnourished children have been set up by government with assistance from UNICEF in all the districts of the state.

Challenges and Opportunities

In Rajasthan, more than a third of children younger than three are underweight, and almost 80 per cent are anaemic. Malnutrition is one of the major causes of morbidity among young children in the state.

The number of children in Rajasthan who has been fully immunized against common childhood diseases such as tuberculosis, polio and diphtheria is very low and barely a third of children who suffer serious bouts of diarrhoea receive life-saving oral rehydration treatment.

School dropout rates are high and the number of working children is increasing.

Other challenges and opportunities:

• Although Rajasthan is the third largest salt-producing state in the country, less than half of the state’s households use adequately iodized salt, needed to prevent iodine deficiency which can impair brain development and cause motor and hearing problems.

• While the majority of births are now taking place in health facilities, only about half of new mothers get antenatal care from a health professional, and only about one in three receive postnatal care within the first two weeks of giving birth.

• Although most families have access to water, more than half of these sources are contaminated with excess levels of fluoride, nitrates, salinity and effluent.

• About half of rural homes do not have toilets.

• School attendance is about 80 per cent, although it is much lower among girls, and tribal and scheduled caste children. Female literacy is about 40 per cent.

• Student performance is lagging, with only just over half of Class Five students being able to read a Class One text.

• The average age of marriage for girls in Rajasthan is 17 years.

UNICEF in Action

Being a partner of choice for the Government of Rajasthan, UNICEF is working on a set of models and demonstrations of delivery of essential interventions and approaches in select priority districts, such as Tonk, Baran, Dungarpur and Udaipur, aimed at statewide scale up. Initiatives include programmes to ensure better nutrition for children, and provide assistance to those already malnourished.

This includes improving the skills of village anganwadi , or child care, workers, assessing the weight and healthy growth of children and referring them for extra nutritional help and medical care when needed. UNICEF is also working to save the lives of mothers and newborns threatened by inadequate childbirth practices by encouraging institutional deliveries.

UNICEF is supporting a range of interventions in two broad areas: ‘Child Survival and Development’ and ‘Learning and Protective Environment for Children’ in partnership with various government departments. The following is a brief description of major activities in the two categories:

Child Survival and Development

• Training of village health workers (Accredited Social Health Activists, ASHAs) and Auxiliary Nurse Midwives (ANMs) to identify early danger signs during pregnancy and childbirth for referral to a facility in case of emergency.

• Visiting newborns to detect early symptoms of morbidity and referring to a facility.

• Helping in establishing specialized newborn care units in every district for newborns facing difficulties during or after birth.

• For severely malnourished children, UNICEF has helped to establish malnourishment treatment centres.

• Implementing anaemia control programmes among adolescent girls in and out of schools.

• Promoting the use of iodized salt, especially in villages through the public distribution system.

• Improving the rate of full immunization and appropriate treatment of diarrhoea at facility and family levels.

• Provisioning of safe drinking water and home based treatment of water to prevent fluoride contamination in villages

• Creating demands for toilets at home (in association with community groups),  improving supply chain to provide easy options to households to have toilets and promoting appropriate behaviour change for hygienic living.

• Community-led total sanitation approach for universal use of toilets.

• Promoting hand washing with soap through the school education system.

Learning and Protective Environment

• Activity-based learning to improve quality and ensure completion of elementary education.

• Pilot initiative providing ‘transport vouchers’ to disadvantaged tribal children located away from schools .

• Innovative pilot initiatives to prevent child marriage, especially among identified rural areas.

• Developing model intervention of prevention of child labour, particularly in southern Rajasthan where children migrate to cotton cultivation areas.

• Creating the Rajasthan Commission for Protection of Child Rights and a system of grievance redressal.

 

 

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