Village Health and Nutrition Day (VHND)
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.
•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
• Focal Group Discussion, where maternal death
• Awareness on Safe Drinking Water and Clean
• 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)
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 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.