An ANM in Jalaun, Uttar Pradesh, Offers a Promise of Health and Hope with Quality MNCH Services

Caring for a pregnant woman means protecting not just one life, but two. It’s a promise of health, hope, and a brighter future for both mother and child.”

Rachna shared- “The trainings increased my confidence and helped me communicate more effectively with the community. I learnt to integrate family planning with maternal and child health services, and how to use data for better decision-making. One of my most valuable tools is the UPHC dashboard, set up with TCI India’s support. It allows us to track month-wise data, review trends and plan more effectively.

Rachna’s daily routine reflects her commitment and coordination: “A day before every Routine Immunization (RI) session, I visit the community with the ASHA to finalize the due list of children. After the session, I follow up with families who missed it and encourage them to come next time.” She also monitors children post-vaccination for adverse reactions, keeps detailed records in the Adverse Events Following Immunization (AEFI) register, and follows up with families during field visits. Her focus on informed care is evident: “During RI and UHND sessions, I make sure every mother clearly understands five key things: the name of the vaccine that was given, the disease it protects against; whether it requires a booster and when is it due; the possible side effects and how to manage them; and last but not the least, on why it is important to keep the RI card safe.”

Rachna’s work doesn’t end with vaccines. She provides antenatal check-ups, counseling on nutrition and self-care, and supports postpartum family planning – empowering families to make informed choices for a healthier future.

She acknowledges ongoing barriers: “Of course, challenges persist. Some people still fear vaccines, especially if their child experiences mild side effects. But with the support of our Medical Officer In-charge, we counsel such families, address their concerns and continue moving forward.” What keeps her going is the gratitude she receives from her community: “When someone tells me, ‘You give such good advice and services, it really helps us and our children,’ it fills me with pride. These words make every effort, every challenge, worthwhile.”

PSI India through The Challenge Initiative (TCI) India trained Rachna on effective counseling techniques, integrated service delivery, and data use especially during Urban Health and Nutrition Days (UHNDs).