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Aspirational Districts Program; Niti Aayog shares transformative stories of success

In order to make key interventions in health, education and basic infrastructure of 112 districts, the Aspirational districts program was launched in 2018.

The program from its inception, aimed at converging efforts of districts, states and Centre, and with civil society participation the program turned to be a mass movement of healthy competition between districts.

By the end of January 2022, 914 NGOs have been onboarded to the program. Districts achieved remarkable improvement in socio economic indicators, despite them having an additional responsibility of vaccinating the people during Covid-19 crisis.

Champions of Change Portal

Measurability of change on this portal has acted as inspiration for growth for these districts. All districts’ performance on Health & Nutrition, Education, Agriculture & Water Resources, Financial Inclusion & Skill Development and Infrastructure are made public on this portal.

Balrampur and Siddharthnagar in Uttar Pradesh hold 1st and 2nd position in overall performance since program inception. Katihar, Gaya and Muzzafarpur in Bihar secured top three positions for February month’s performance under the program.

As part of the Azadi ka Amrit Mahotsav, NITI Aayog held a day-long conference on the Aspirational Districts Programme (ADP).

A report, titled ‘Stories of Change’, on 30 innovative interventions by Aspirational Districts was also released. These interventions—selected on the basis of the usage of behavioural principles, innovation, replicability and potential for impact—demonstrate how behavioural insights can drive outcomes on the ground.

Stories of Change

The document has many inspiring and enlightening account of how the ADP has brought behavioural changes through innovative techniques

A Doll that solved deadly Diarrhoea: As per the National Family Health Survey-4, 35% mothers thought reducing fluids when their child is suffering from diarrhoea is the right solution.

Mothers are unwilling to use zinc and ORS tablets to treat diarrhoea, since they liken a child suffering from diarrhoea to a leaky bucket, i.e., unwillingness to put more water into a leaky bucket as it’s bound to leak out.

Where Mass media campaigns through television, radio, and door-to-door visits failed to convince them, Pari (Hindi for fairy), a plastic inflatable doll with two openings have succeeded.

A frontline health worker (FLW) pours water into the top inlet to inflate the doll to show what a healthy baby looks like. Then she releases the water by opening the outlet at the bottom, which deflates the doll to demonstrate what diarrhoea does to the body. When the FLW plugs the second opening and pours ORS into the doll, the water does not leak out. This demonstration better drived the point that ORS and zinc supplements should be used to plug the leak rather than subscribing to the wrong notion of adding no more water(ORS) into the body.

In 2018, the Government of Bihar committed funds to scale up Pari to all 38 districts of Bihar. Niti Aayog said that knowledge of diarrhoea management was three times higher among women exposed to Pari and the use of ORS and zinc among them was almost two times higher than among women not exposed to Pari.

The document has an exciting account of several success stories in Health and education sector. The story of a fictional doctor giving timely audio mobile updates regarding child and maternal health, from the fourth month of pregnancy till a child is born, ends with her having over 10 million listeners. Jhangaroo ladoos used to treat iron deficiency, Miss Haeomoglobin pageant program to make India free from Aneamia are few among other stimulating stories.

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