NGOs with an established institutional base and delivery infrastructure are encouraged to complement the public health system in achieving the goals of the RCH programme. Any NGO that is engaged in directly providing integrated services in an area co-terminus to that of a CHC/block PHC with 1,00,000 population (approximately 100 villages or more) is called a Service NGO. Service NGOs are expected to provide a range of clinical services directly to the community. For example, services for safe deliveries, neo-natal care, treatment of diarrhea and ARI, abortion and IUD services, RTI/STI etc. These services must reach out to male and female population in all age groups. In order to provide these services effectively, the applicant NGO must have appropriate staff, infrastructure such as clinic/hospital, ambulance etc.

Non-clinical services could include documentation and surveillance of data, health data management, training of dais, village health committees, SHG leaders and micro credit groups, PRIs among others. The purpose of training, for example, dai training or training of VHCs, will clearly be to improve the access and quality of clinical services. In order to impart these skills, the NGO must have the appropriate infrastructure base and a training center/institute recognized by the Government. A non-recurring, one time grant can be provided to SNGOs for strengthening their existing infrastructure base, in case there is a requirement. Applicants for the SNGO scheme must have staff with demonstrated experience and skills, and credible referral linkages and network for providing outreach services.

This NGO Scheme, called the Service NGO Scheme, is expected to promote the achievement of the RCH objectives in the areas which are un-served or under served** by the public health services and infrastructure and complement the MNGO Scheme. SNGOs differ from MNGOs in terms of their scope and coverage of work. SNGOs can provide a range of clinical and non-clinical services, directly to the community while the MNGOs provide through the FNGOs. While FNGOs can take up a particular service delivery area, SNGOs are expected to provide an integrated RCH services. The SNGO may be provided with a non-recurring one-time grant for infrastructure improvements as required whereas FNGOs are not eligible for this.

The SNGOs provide the following comprehensive range of clinical and non-clinical services in the following RCH areas:

The SNGOs implement large-scale projects in the key RCH service areas covered under the MNGO Scheme viz. Family Planning, (such as setting up of IUD clinics), Adolescent Reproductive Health, Maternal and Child Health, and RTI. Additionally, SNGOs can take up other areas such as MTP services, and Dai Training. SNGO proposals for service

delivery in emerging RCH areas such as Gender based Violence, and Male Participation will be encouraged. Gender and community mobilization processes are expected to be cross cutting in all aspects of service delivery. Community needs to be adequately mobilized to generate demand for RCH services.

The above is an illustrative list only. Indicative guidelines for these RCH service delivery areas are presented in Part Three of this Guidebook. The SNGO can propose interventions in other service areas. The SNGO must provide a clear justification for this and it must be a felt need in the community.

Greater emphasis on service delivery means that the service providers are able to measure outcomes concretely. Therefore the guidelines focus on development of clear outputs and measurable indicators at the project proposal stage by the SNGO.