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1. Seminar on Village Health and Sanitation CommitteeA Vision under NRHM
Shib Sekhar Datta
2. Presentation Design Renewed thrust on PRI under NRHM
Constitution of VHSC ? a targeted intervention
Roles an responsibilities
Maintenance of bank account
3. Renewed Thrust on PRIs under NRHM NRHM framework revolves around activation of PRIs in the rural India
Determinants of health take front seat
Water, environmental sanitation and nutrition identified as vital components for better health
Convergence starts from the village level and flows up.
First step being merger of Panchayat Raj Village health committees and water and sanitation committees.
4. Constitution of VHSC ? a targeted intervention Increased no. of members: increased scope of work
ASHA ? an institution in itself, most ambitious intervention under NRHM
Sarpanch, Secretary, AWW, ANM, ASHA, teachers, village members, CBOs, SHGs are members, with due representation from each hamlet, community and weaker sections
50% female members (SC/ST/OBC group)
30% from NGO sector
5. Capacity building The states have a huge task of building capacity of these Committee members.
Have to empower them to adapt to their new role: monitoring of activities, evaluate planning process and maintenance of accounts.
Initial hand holding is important ? NGOs to come into picture
Village health planning process to emerge through community development process
6. Roles and responsibilities House hold survey: maintain records
Present annual health report of the village in the Gram Sabha
Identify all members of health support team and work as a team
Develop a village health plan with detailed activities
Participatory Rapid Assessment
Support ASHAs and AWWs to collect information
Support and supervise ASHAs and AWWs to carry out all RCH activities
Organize village health nutrition days (VHND)
Ensure death*, birth and marriage registration
7. Roles and responsibilities.. Ensure clean water
Plan for environmental sanitation ? organize public health activities like cleanliness drives, sanitation drives, school health activities, health and nutrition days
Managing Village Health Fund
Maintain accounts ? of untied funds under NRHM
Leverage funds from other sources
8. Powers of the Committee
The convener will sign the attendance registers of the
AWWs, Mid-Day meal Sanchalak, MPWs, and ANMs.
MPWs and ANMs to submit a bi-monthly village report
to the committee along with the plan for next two months.
Village Health Committee would decide format and contents of the bi-monthly reports.
The committee will receive funds of Rs 10,000 per year.
This fund may be used as per the discretion of the VHC.
9. Some yardsticks for monitoring at the village level
Village Health Plan
NRHM indicators translated into Village health indicators
Tools for monitoring at the village level
Village health Register
Records of the ANM
Village Health Calendar
Infant and Maternal death audit
Public dialogue (Jan Sambad)
10. Maintenance of bank accounts Untied revolving fund ? granted in installments
Decide on the joint account holders ? states to decide
Options may be ? Sarpanch/President of VHSC with
Activity details and account register maintenance by
? states to decide (ASHA/VHSC)
Options may be - ASHA/ANM/AWW
Supervision and monitoring of the expenditure and records by
? ANM/MPW/Gram Panchayat
11. Accountability To maintain updated Household Survey data to enable need based interventions.
Register of details of activities undertaken, expenditure incurred etc. will be maintained for public scrutiny.
Periodically reviewed by the ANM/Sarpanch.
Block level Panchayat Samiti will review functioning and progress of activities of VHSC.
The District Mission through members/block facilitators elicit information on the functioning of VHSC.
A data base may be maintained on VHSCs.
12. Critical Role of PRI in the success of the NRHM PRIs are seen as critical to the Planning, Implementation, and Monitoring of the NRHM. Key to NRHM success are: ? Inter-sectoral convergence ? Community ownership steered through village level health committees at the level of the Gram Panchayat, and ? Well functioning public sector health system with support from the private sector.
13. Future vision Complete decentralization
Health infrastructure maintenance
Need based programming
Effective use of resources
14. References Government of India.
National Rural Health Mission (2005-12), Mission Document.
Government of India. National Rural Health Mission,
Monthly village health nutrition day, MOHFW, GOI.
Special Thanks to:
District Health Office, Wardha
Dr. Arun Amle
District Tuberculosis Officer and DHO In-charge, Wardha
District Training Officer, Wardha