Kissan Welfare Association has became pioneer organization to address Health care & Hygiene Issues through FFS approach. Previously only Agro based problems were discussed in Farmer Field School (FFS) very successfully. Keeping in view the performance of previous FFS, CEC & WOS, KWA® has signed a pilot project with unicef-pak on Health & Hygiene issues under the name of CAP Community Action process from August 2007.
Under CAP (Community Action Process) KWA will work on its FFS approach for improving the Health & Hygiene issues in two Union councils ( Jindo Massion & 24-BC). KWA will establish 10 FFS, 10 WOS & 10 CEC in each UC which will work according to the core of project Development by People The Community Action Process is structured to address critical problems pertaining to women, children and community as a whole. It is based on the assumption that the limited capacity and opportunity of people to analyze their situation, as well as overall lack of their participation and control over resources, decision making and services within community, are underlying barriers to the realization of their rights.
Many strategies and interventions are being undertaken to date to improve the situation of communities especially women & children in Punjab. There have been successes in reducing mortality and morbidity levels of children and increasing access to basic education, especially for girls. One of the reasons for the limited progress is that solutions were often sought in a general manner for the whole country without taking into account of Provincial/local variations. Nor were the underlying and basic determinants of problems faced by children and women were addressed through a thorough analysis of the causal factors. Since most problems affecting children and women arise from a multiplicity of interrelated and interacting factors, an integrated development approach based on a careful causality, vulnerability and capacity analysis at all levels is required.
In rights approach to programming, the concept of decentralized development recognizes that the family is both the immediate environment of the child and its principal caregiver, and it is at this level where important behaviors that impact positively on the well being of children and women must be understood and practiced. The family, household and community are the basic units of society with the role, rights and duties to promote, protect and fulfill the rights of children and women.
The concept recognizes that community members have capacities that they do or could use for their own development and to lay the foundations for the survival, development, and participation of their children. Sustained development strategies must build on these existing capacities to increase the range of choices and other alternatives that community members can adopt in facilitating their own development.
Parents, extended family members, service providers, community leaders, and civil society organizations all have moral, ethical and legal obligations to promote, protect, facilitate and fulfill children's and women's rights. Efforts to empower families and communities especially women should therefore be supported and reinforced by actions to mobilize commitments and develop the capacity of duty bearers at all levels. This includes strengthening capacities at district up to the village levels to provide quality basic services and to promote community initiatives
In all activities communities will be involved through participatory process and responsibilities will be shared.
The three main activities
1-Vaccination,
2-Health hazards
3-Awareness and sanitation
will be easily placed in the training curriculum.
When the communities & grass root level organizations are involved in such activities the sustainability is not a problem. KWA will try to increase the community participation and to bridge gap between community & services providing agencies, NGOs & Govt Departments.

KWA has started CAP activities from 4th of august 2007 in both union councils Jindo Misson & 24-BC. For this purpose one Project Coordinator & 12 Field Facilitators (6 male & 6 female) have been appointed (3 male & 3 Female Field facilitators for each Union councils)
KWA selected those areas of both UCs which were neglected previously or which were away from main localities for establishing FFS WOS & CEC.
Different Training Workshops have been arranged for the Capacity Building of Field Facilitators which has enhanced their knowledge & field work especially toward EPI.

FFS WOS & CEC CURRICULUM FOR CAP ACTIVITIES

1) Awareness toward EPI was very low. Even community members didn't know the importance of Vaccination for health of their child & women
2) Availability of Vaccines in BHU is in very poor conditions.
3) Irresponsible behavior of Vaccinator & LHWs.
4) Community members were not aware about use of toilets in there homes.
5) Practice of hand washing before eating & after use of toilets was very low.
6) Habit of Safe Handling of Pesticides was very low & community members didn't know that how pesticides are destroying their health & atmosphere.
7) Low level of awareness toward Safe Drinking water was also observed.
8) Negative propaganda of Vaccines was observed community members thought that vaccines, iodized salt & other injections were being used for family planning it would leads toward impotency.

1. Awareness & importance of EPI has increased in both UCs through FFS, WOS & CEC. Because of this in most part of Jindo Misson & 24-BC mothers & children were vaccinated after a long period & most of the women were vaccinated (TT) for the first time in their life.
2. Outreach Plan, mobile number of Vaccinator & toll free number for complaint 080012012 has provided to community through our FFS WOS & CEC which has played a significant role in improving EPI coverage.
3. Sense of responsibility has emerged in parents for the health of their family.
4. Practice of washing hands before eating & after use of toilets has increased.
5. Importance of Safe drinking water has emerged.
6. Use of Toilets in homes has increased.
7. Meetings of field facilitators of KWA & Vaccinators of both UCs were arranged with the help of Dr. Zakir Ali & Mrs. Nasreen Ahmed. Purpose of these meetings was to bridge communication gap and to enhance the EPI coverage.
8. In the end of last month Vaccinator of 24-BC UC visited with our field Facilitators (Nawaz Anjum who cooperated after last polio campaign 30th & 31st October and 1st November 2007 ) & vaccinated children for improving EPI coverage.
9. KWA has trained a team of volunteers trough FFS WOS & CEC for the betterment & development of Community like in 24 BC Al Noor Women Organization & Chanan Citizen Community Board, are working voluntarily helping community under CAP.
10. Practice of Safe handling of Pesticides has been increased through FFs,WOS & CEC. Especially women are using protective measures in this picking season.
11. Sense of ownership and monitoring has emerged in community.
12. 600 male 700 female & 700 Children
from each U.C have been trained through
FFS, WOS & CEC established by KWA.
They are working as Volunteers for the
development of Community.
13. Community Information Board (CIB) has been
placed & these CIBs are updated by volunteers.