The resurgence of the second wave of COVID-19 over the last three months has had a devastating impact on India’s healthcare system. It has also led to further marginalisation of already vulnerable communities – including young people. To help combat the impact of the pandemic and supplement the efforts of the government and civil society, India has seen a surge in domestic and foreign philanthropic aid.
Dasra too has rolled out multiple relief initiatives to support state governments, civil society organisations and communities. Through our global fundraising initiative, #BackTheFrontline, we have raised USD 7.3 million (of our USD 10 million goal) to support 100 local, grassroots non-profits that are supporting vulnerable communities fight COVID-19 on the frontlines across India. Through our flagship programme, the 10to19: Dasra Adolescents Collaborative – which aims to prioritise adolescents needs and amplify their voices – we have focused our relief efforts on funding Jharkhand-based organisations that are working on prioritising the well-being of adolescents on the ground and providing relief materials at the community and hospital level in tandem with the Jharkhand Government. To ensure that the voices of young people are directly heard, we are also running a citizen journalism leadership programme especially catered to young people in the state.
As foreign and domestic philanthropic aid has flooded the country, so have questions about its disbursement and distribution. When it comes to reach and distribution, the Indian government is often the most efficient actor to partner with to ensure large-scale distribution and extensive reach of relief materials and aid. While at a smaller scale, we too have had experience in working with the government to direct COVID-19 relief materials where they are most needed, and have garnered rich learnings in the process of doing so. In this article, we would like to spotlight one aspect of our COVID-19 relief efforts – ensuring the successful fundraising and delivery of Oxygen concentrators to the Government of Jharkhand.
Dasra has had a long-standing relationship with the Government of Jharkhand, and specifically the State’s National Health Mission (NHM). We have partnered with them on multiple projects and campaigns in our shared endeavour to champion the cause of adolescent health and well-being. During the peak of the second wave, the Jharkhand NHM reached out to Dasra to request support in supplementing existing COVID-19 relief and response measures, given that the second wave had swiftly spread across the state, gravely impacting and overburdening the existing health system.
Reinforcing our shared commitment to prioritise the wellbeing of adolescents and young people, Dasra offered to support the government in fundraising and procurement of Oxygen Concentrators, while also providing support to local, community-based and youth-focused organisations who would be involved in the distribution of relief material at the last mile, carrying out awareness campaigns and training frontline workers.
The entire process, starting from receiving an initial request for support from the NHM, to finally delivering the Oxygen Concentrators took a total of 3 weeks.
During this time, we coordinated closely with the NHM office to ensure that there were no gaps in logistics and that they were looped in at all points of time. We received a consignment of Oxygen Concentrators from #MissionOxygen, an initiative that raised funds to procure Oxygen Concentrators through crowdsourcing via social media – of which a subset of the Concentrators was earmarked for Jharkhand NHM on our request.
Our experience working with the NHM was smooth and pleasant, with the NHM representatives being transparent and proactive during the entire process. The Concentrators were delivered successfully within a short period of time, taking into account unavoidable last-minute logistical delays in travel time.
The process of successfully transporting the concentrators was made possible by constant coordination among multiple actors. We first received an initial consignment from #MissionOxygen, of which we set aside a number of concentrators for the Jharkhand NHM. Details related to the address and recipient of the consignment were then sought from the NHM, after which a daily tracking of the shipment was conducted to ensure that it reached the right place at the right time.
As each of these steps needed to happen in quick succession to ensure timely delivery, NHM’s quick turnaround in terms of response ensured that the process was smooth. A designated point of contact was allocated from the NHM office who was always available to address any questions and troubleshoot during hurdles – even after office hours. Additionally, the NHM also ensured that a representative from their office was physically present to receive the consignment and they immediately sent us a confirmation of receipt. This experience has further strengthened our belief in the importance of having champions within the government.
There are of course learnings to help ensure a more streamlined process going forward. We are aware that State and Central government offices are currently overburdened and overwhelmed by COVID-19 and its impact on all sectors.
All these aspects are already included within the purview of the NDMA, SDMA and other governmental bodies, and therefore we recommend that these goals be implemented in practice to ensure relief efforts can reach the last mile and reduce effort on the part of the government as well as civil society organisations.
Reference Example for easy understanding
The policy gap(s) addressed by the program
The exclusion of young people in the decision-making process for policy issues surrounding adolescents
Community need(s) addressed by the program
Greater awareness and understanding of adolescent issues regarding their education, sexual and reproductive health, and early marriage
Opportunity for innovation addressed by the program
The opportunity to bring and work together with critical stakeholders on a single platform
Day-to-day program activities
Stakeholder management, vendor management
Periodic program activities
Monitoring, reporting, training of personnel
One-off program activities
Government advocacy, designing campaigns
Tools/frameworks/systems & processes/ways of working from the program
Systems Change Framework
Program practices
Is the practice impactful? If yes, list down why?
Is the practice sustainable? If yes, list down why?
Is the practice scalable? If yes, list down why?
Is the practice innovative and/or unique? If yes, list down why?
Youth-led social audits and presenting youth-centric priorities directly to decision makers
Yes, as it allows young people to directly engage with decision makers and contribute to the decision-making process
Yes, as it equips young people with leadership skills. It is also cost effective due to the long-term gains it offers upon initial investment
Yes, as such training modules can be replicated across multiple initiatives by other practitioners & organizations. In addition, trained young people can also train other young people
Yes, as it follows an approach which centers its design and delivery around young people, in an end-to-end manner
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Promising Practice
Youth-led social audits and presenting youth-centric priorities directly to decision makers to: (i) create a platform for youth to exercise their agency (ii) effectively engage decision makers
Source
Details
Community feedback of adolescents feeling confident, understood, and acknowledged
On-ground team feedback on creation of government champions for the project’s objectives
Project report and surveys observe greater youth involvement and efficacy in engaging directly with decision maker
RECOMMENDATIONS
Promising Practice
Youth-led social audits and presenting youth-centric priorities directly to decision makers to: (i) create a platform for youth to exercise their agency (ii) effectively engage decision makers
The demographic it addresses
Adolescents from the age of 10 to 19 years
The gap/ need/ opportunity it addresses
The exclusion of adolescents and young people in the decision-making process for policy issues regarding adolescents and young people
Govt stakeholders
Holding consultations with critical stakeholders and young people from the inception of a program
Funders
Taking inputs from all stakeholders and young people before initiating a new project to ensure a deeper visibility and understanding of their demographic and its needs
Other Practitioners
Engaging young people in decision-making processes to adopt a more collaborative approach between stakeholders and young people
Community Stakeholders
Undertaking youth-led social audits and engagement with decision makers to engage directly with young people, understand their needs & concerns and influence change at the community level
Objective Review
Objective Review
Document
DEVELOP INTO A RECOMMENDATION
Develop into a recommendation
DEVELOP INTO A RECOMMENDATION
CALIBRATE & SUBSTANTIATE
Obtaining qualitative and/or quantitative data to assess the promise of the shortlisted practices according to the five guiding factors
CALIBRATE & SUBSTANTIATE
Obtaining qualitative and/or quantitative data to assess the promise of the shortlisted practices according to the four guiding factors
List & Shortlist
List & Shortlist
To identify gaps/needs/opportunities and to shortlist program practices that are impactful, sustainable, scalable, innovative and/or unique.
Policy gaps
Community needs
Opportunities for innovation and other aspects that the program is addressing.
A list of program practices that are working on-ground in bridging gaps/needs/opportunities.