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Regional Workshop on Community action for health Mumbai, 31 st Jan. and 1 st Feb. 2017

Community Action for Health Maharashtra. Regional Workshop on Community action for health Mumbai, 31 st Jan. and 1 st Feb. 2017. Presentation by Dr. Sunil Patil Joint Director (Tech.), National Health Mission, Maharashtra. 1. 1. Community Based Monitoring and Planning.

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Regional Workshop on Community action for health Mumbai, 31 st Jan. and 1 st Feb. 2017

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  1. Community Action for Health Maharashtra Regional Workshop on Community action for healthMumbai, 31st Jan. and 1st Feb. 2017 Presentation by Dr. Sunil Patil Joint Director (Tech.), National Health Mission, Maharashtra 1 1

  2. Community Based Monitoring and Planning Village health Nutrition and Sanitation committee Community Action for Health in Maharashtra Decentralized Health Planning Rugna Kalyan Samiti (RKS) Grievance Redressal Mechanism MAS in Urban areas

  3. Community Based Monitoring and Planning process of Health Services

  4. Scale of CBMP process (CBMP) in Maharashtra Under regular project mode covers 14 districts with formation, orientation and activity of multi-stakeholder committees in Over 815 villages 120 PHC areas 35 Blocks Currently the CBMP process with lower intensity generalizable mode is being implemented in 1490 villages and 65 blocks of 23 districts of Maharashtra.

  5. Institutional mechanism for implementation of CBMP Levels of committees for Feedback & Action State Planning & Monitoring Committee District Monitoring & Planning Committee Action Feedback Block Monitoring & Planning Committee PHC Monitoring & Planning Committee Village Health, Water supply, Nutrition and Sanitation Committee

  6. Composition of CBMP committees Public Health officials Elected representatives – Panchayat members Representatives from lower committees and community members CBO / NGO representatives

  7. Key processes in Community monitoring - Maharashtra Community awareness programmes Data gathering and filling report cards Visits by committee members To health facilities Meetings of community based monitoring committees

  8. Public hearings (Jan sunwais/Sanvad):a forum for people’s voice and accountability • Report cards and cases of denial presented • Health officials respond to issues raised by people • Actions ordered regarding services at village, PHC and Rural hospital levels • Over 550 Public hearings organised so far at PHC, block and district levels

  9. Progress under CBMP FY 2016-17

  10. Resource material produced under CBMP Since last 9 years, Under CBMP process total 116 different Kinds of CBMP publications (brochures, booklets, tools, posters, report cards, policy briefs etc.) which have been disseminated across Maharashtra.

  11. Significant improvements in health services in CBM areas • Practice of PHCs prescribing medicine from private shops has largely stopped • Illegal charging by certain medical officers has now been checked; challenging corruption • Frequency of visits of ANM and MPWs in villages has improved • Rude and abusive behaviour stopped • Definite improvement in immunisation coverage • Non-functional sub-centres, mobile units, lab facilities now started functioning Significant rise in outpatient, inpatient utilisation in CBM areas

  12. Community helps to solve problems of health care providers In Bhongowali PHC in Bhor block of Pune district, the doctor was not staying at the PHC. Raised during Jan Sunwai, he complained that he did not have quarters. A CBM committee member offered to arrange a house for him in the village on the spot. Today doctors are regularly staying at the PHC even at night.

  13. State level recognition by CBMP process to well performing health care providers

  14. Community Based Monitoring and Action of ICDS • Expansion CBM concept in other social sector such as Nutrition. • SATHI is the state nodal organization for CBMA ICDS in Maharashtra since 2013 with the support of Women and Child Development (WCD) department of Maharashtra. • Leading implementation of Community based Monitoring and Action of ICDS in 189 Anganwadis of 9 districts of Maharashtra from 2013.

  15. Strengthening VHNSCs and RKS

  16. RKS and VHSNC Maharashtra developed various strategies to strengthen the functioning of these two important community level committees Formed State level Support group for strengthening RKS and VHSNC comprising of NHM PO, SHSRC consultants, SATHI representatives and State RKS and VHSNC trainers The group will primarily involved in developing and executing strategies for strengthening these committees (Eg: RKS coordinators capacity building workshop, Filed mentoring visits, Small studies to understand the gaps etc.)

  17. GramSabha

  18. Grievance Redressal Mechanism in Maharashtra

  19. State level Grievance Redressal Cell • State Grievance Redressal Cell was established in September 2009 at State Level under National Health Mission, Mumbai. • The Hon. Commissioner (FW) & Director, NHM is the aultimate authority of the Statel level Grievance Redressal Cell. • At State level there is a separate Telephone number (022-22662626) to registered grievances.

  20. Circle level Grievance Redressal Cell • At each Circle Level, total 8 Grievance Redressal Cells have been established in the year of 2010-11 under Dy. Director, Health Services, Maharashtra. • Each circle level there is a separate Telephone number to registered a grievances.

  21. District level Grievance Redressal Cell • The State Health Society established Grievance Redressal Committee/ Cell under 35 Districts in the year of 2012-13. • The District Programme Manager (DPM) is looking after the all grievances. Based on recommendation from CBMP, the State Health Society will be established at Block level Grievance Redressal Cell /Committee in 2017-18.

  22. Various sources for collection of grievances at different levels • Written applications from complainant • Via telephone call (HACC – 104, registered GRC telephone number) • Via email

  23. Details of number of complaints under Grievance Redressal Cell at various levels

  24. Plans for scaling up in FY 2017-18 • Planning to cover all tribal districts (16 districts) of Maharashtra under CBMP process • Generalising community monitoring in voluntary mode in various new districts and regions • Strengthening Community Based Planning process under Decentralized Health Planning by using existing spaces/structures such as RKS committee, VHNSC, Gram Sabha • Block level federations, grievance redressal facilitation cells, resource units working with youth • Decision to organise ‘Arogya Gram Sabhas’ in all villages where services can be reviewed, planning decisions can be taken

  25. Thank you!!!!!!!!!

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