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The community organisation component includes the establishment of village development committees (VDC) which ensure that programme management is responsive to the real needs of the people and ensure that services reach the neediest and most marginalised households. The VDCs provide a forum to monitor Government and private service providers, demand rights and to undertake community action. The process is very participative and establishes democratic norms of functioning for community structures.
The impact of this programme is assessed and the girls have gained in self confidence, legal literacy, nutrition and health. The median age at marriage has also increased.
The
major objectives of this programme are to make safe drinking water
available to 186 villages of Paithan Taluka and to provide policy
options for ensuring safe drinking water in rural areas. The main
components of the programme are repair and maintenance of hand pumps,
community based monitoring, water quality testing, health education
and Community based monitoring is done by village women living in the vicinity of the hand pump. Three women are selected and trained for each pump. There are 1500 village level volunteers (VLVs) taking care of 500 hand pumps in 186 villages of Paithan Block. An evaluation of this programme indicates that the availability of water increased by 2.5 lakh litres in 186 villages. The safe drinking water (SDW) programme has had a major impact on the policy, of the Government Maharashtra, related to rural drinking water supply. The sanitation programme includes demand generation for sanitation facilities, ensuring sustained use of latrines by the entire household through planned IEC inputs. The Institute has constructed 500 latrines in Paithan taluka.
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This
programme focuses on the development of local structures, which
initiate, facilitate and sustain various community-based interventions.
The IEC component implements planned behavioural change strategies
through change agents from the community such as children, youth,
women etc. Informal groups of women, men, youth have been created
to facilitate IEC in the entire community. These lateral channels
of transmission are effective in enabling behavioural change as
they ensure that the stimulus for change is generated from within
the community.
The
primary health care programme aims at generating a demand for quality
health services for women and children. It operationalises primary
health services through participatory community need assessment
and an ongoing surveillance system. It focuses on improving the
coverage and quality of established services. The Institute provides
those services that are not available through the government health
system such as women's health, gynaecological morbidity, STD/HIV
prevention, neonatal care etc. 
IHMP
has specialised in the provision of obstetric care through TBAs.
It has established a preventive model for malnutrition in children
under three years. IHMP has devloped community based surveillance
and management systems for immunisation, women’s health and
child health. A system for the management and care of neo-nates
has also been developed. IHMP has extensive experience in conducting
community needs assessment. District level management systems for
different components of primary health care have been developed
by IHMP.
The
approach of child development for, by and through children was conceptualised
by the IHMP in 1988. The Bal Vikas programme promotes development
of children through a child-centred approach. This approach places
children in the role of change agents working towards the development
of their village. Through this process, children develop themselves
also. 
Bal
Panchayat's (children's councils) have been established in each
village for organising and mobilising children (6-14 yrs) and involving
them in various developmental activities. The children learn about
the democratic process by electing office bearers to the Bal Panchayat
and voting during decision making. The Bal Panchayat has five divisions
- 1. Non-formal education, 2. Health education, 3. Afforestation
, 4. Art & crafts and 5. Bal Shakti. Each division has a chief
and a deputy chief elected by the children. The aim of establishing
Bal Panchayats is to develop leadership among children and develop
a sense of responsibility towards their peers and community. Over
the years the commitment to serve their community has become a hallmark
of this programme especially apparent in the older Bal Sevaks who
are now young adults. The aim of providing the children with a formal
forum is to sustain this spirit of volunteerism.
This
programme is based on the evidence that literacy and education improves
the health and social status of women and children. The programme
addresses the special needs of adolescent girls and equips them
with life skills for a better quality of life. The primary intervention
is a one-year life skills course for adolescent girls with a special
focus on out-of-school and working girls. The programme also focuses
on sexuality education, anaemia prevention and improvement of the
reproductive health of adolescent girls.
IHMP
is situated in one of the most drought prone regions of Maharashtra.
This has necessitated its involvement in environmental issues such
as water, sanitation and afforestation. The Institute has more than
a decade's experience in rural drinking water supply and has developed
systems for community based management of hand pumps.
IHMP
offers short training courses on: Management Primary Health Care,
Child Health and Nutrition, Information, Education and Communication
(IEC) Reproductive health, Programme Planning Monitoring and Evaluation,
and Community Organisation. Since 1986, the Institute has trained
over 2500 NGO and Government functionaries through practically oriented
courses. Faculty 
from
various premier institutions related to health and development are
invited to provide the theoretical content related to health and
management concepts. Experienced residential faculty provide field
based training and cater to the individual needs of the trainees.
IHMP has received trainees from most States in India and several
other countries, which include Ethiopia, Sudan, Uganda, Bangladesh,
Nepal, Sri Lanka, etc. The Institute also provides need based training
for the NGO and government sectors.
