VHND/VHSC

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Village Health and Nutrition Day (VHND)

The basic objective of organizing Village Health and Nutrition Day in AWCs is to provide momentum to the efforts towards increasing early registration, ANC checkups, counseling on institutional deliveries, counseling on breastfeeding, family planning, immunization, menstrual hygiene etc. leading to better maternal and child health. Village Health and Nutrition Days proposed to be organized once in a months at each Anganwadi Centre. ANM, Anganwadi Worker and ASHA will ensure their presence on Saturday (as per Schedule) and will coordinate to make this activity at village level an effective intervention. During the VHN Day, CHC/PHC wise supervisor/ HV/BPMU will be responsible for Supervision/monitoring of VHND in their respective area.

Activities:

•ANC checkup of expectant mother to identify complication’s weight, hemoglobin test, BP etc. and timely referral of high risk pregnancy.

• Counseling of expectant mothers for ANC, Safe and Institutional Delivery, PNC and Nutrition.

• Counseling on menstrual hygiene and use of safe sanitary pads.

• Counseling of expectant mother for HIV testing in health institution, if required ANM will refer to ICTC.

• Counseling on early and exclusive Breastfeeding to expectant mother

• Counseling supplementary feeding to above four month child and Child Immunization

• Counseling of Family Planning methods.

• Specific IEC materials will be developed to ensure their availability at the level of ANMs and ASHA for counseling and motivating clients at VHND.

• Focal Group Discussion, where maternal death taking place.

• Awareness on Safe Drinking Water and Clean Environment.

• After completion of each Village Health and Nutrition Day, ANM and AWW will also prepare a report of that day activity and submit that report to their respective area wise departmental heads with join signature.

• ANM & AWW will be responsible for referral /treatment of malnutrition children of respective Anganwadi centre to area wise PHC/CHC.

• BPMUs/Health Supervisor will be responsible for monitoring up to 20% of total VHND in their respective block, advance plan of monitoring and tour report should be also submitted to DPMU in proper format in time.

Village Health and Sanitation Committee (VHSC)

The NRHM implementation has been planed with in the framework of Panchayati Raj Institution at various levels. The Village Health and Sanitation Committee envisage under NRHM is also within the overall umbrella of PRI. The Village Health and Sanitation Committee are constituted at Revenue Village level at least 50% members in the committee should be women with the involvement of member from every hamlet as well as representation of SC, ST and other backward classes. Government employees and honorarium paid staff e.g. school teachers, ANMs, AWWs are member of committee but should not be more than one third of its strength or special invitee in the committee.

The Panchayati Raj institutions can play a major role in effective and efficient implementation of health and sanitation committee. Several of the elected representatives do not have a clear understanding of their roles and responsibilities. Their knowledge of health and sanitation committee is very limited. It is therefore necessary to conduct training programmes for elected Panchayat members who can play a major role in community mobilization for health programmes, organization of RCH camps, establishment of coordination linkages, monitoring of programme performance, collection of information from households, resource mobilization and above all in creating awareness about health services available and in influencing health care seeking behavior. Presence of 50% of women representatives at all levels in the system is an added advantage to maternal and child health services. Involvement of elected representatives in village health planning and implementation of all health programmes at grass root level is crucial and central to the success of health programmes.