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Seminar on Village Health and Sanitation Committee A Vision under NRHM






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Seminar on Village Health and Sanitation Committee A Vision under NRHM. Shib Sekhar Datta 07.02.2008. Presentation Design. Renewed thrust on PRI under NRHM Constitution of VHSC – a targeted intervention Capacity building Roles an responsibilities Maintenance of bank account
Seminar on Village Health and Sanitation Committee A Vision under NRHM

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Slide 1

Seminar on Village Health and Sanitation CommitteeA Vision under NRHM

Shib Sekhar Datta

07.02.2008

Slide 2

Presentation Design

Renewed thrust on PRI under NRHM

Constitution of VHSC – a targeted intervention

Capacity building

Roles an responsibilities

Maintenance of bank account

Future vision

References

Slide 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.

Slide 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

Slide 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

Slide 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

Slide 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

Many more……….

Slide 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.

Slide 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)

Slide 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

ASHA/ANM/AWW

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

Slide 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.

Slide 12

Critical Role of PRI in the success of the NRHMPRIs 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.

Slide 13

Future vision

Complete decentralization

Empowerment

Convergence

Health infrastructure maintenance

Need based programming

Effective use of resources

Sustainability

Slide 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.

http://mohfw.nic.in/NRHM/Documents

http://www.maha-arogya.gov.in

Special Thanks to:

District Health Office, Wardha

Dr. Arun Amle

District Tuberculosis Officer and DHO In-charge, Wardha

Dr. Dhakte

District Training Officer, Wardha


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