Strengthening Community Action for Health under National Health Mission

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Strengthening Community Action for Health under the National Health Mission has been a decade-long journey focusing on improving health outcomes through community involvement and accountability. The Advisory Group on Community Action plays a crucial role in providing technical support, monitoring, and fostering community partnerships. Key components include health entitlements, citizen charters, and engagement with providers to address community health issues.

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Strengthening Community Action for Health under the National Health Mission Journey across the decade (2007-2018) National Consultation on Community Action for Health January 24, 2018 Poonam Muttreja, Member- Advisory Group on Community Action

Outline of the presentation 1. Overview of Community Action for Health (CAH) under the National Health Mission 2. Technical support provided by the AGCA to scale up CAH implementation 3. Pre-requisites for scaling up 4. Audio Visual clip on voices from the field

Accountability Framework and Role of the AGCA Accountability Framework under the National Rural Health Mission Advisory Group on Community Action (AGCA) Constituted by an order of government Mandate: Adviseto develop community partnership and ownership for the Mission 1. Strengthening Internal Monitoring Provide feedback based on ground realities to inform policy decisions Community Monitoring, participation in Common Review Mission (CRM) and fact finding missions 2. External Surveys 3. Community Based Monitoring Develop models on community action and provide technical assistance to state governments for scaling up community action for health

AGCA Members Mr Amulya Ratna Nanda Dr Abhay Shukla Dr Abhijit Das Mr Alok Mukhopadhyay Mr Gopi Gopalakrishna Dr Hanumappa Sudarshan Ms Indu Capoor Dr Mallavarapu Prakasamma Ms Mirai Chatterjee Dr Narendra Gupta Ms Poonam Muttreja Dr Saraswati Swain Dr Sharad Iyengar Dr Thelma Narayan Dr Vijay Aruldas Permanent invitee: Dr Rajani Ved

AGCA Secretariat team Bijit Roy Daman Ahuja Jolamma Jose Sanjoy Samaddar Saurabh Raj Seema Upadhyay

Components of Community Action for Health (CAH) Health entitlements Citizen s charter and service guarantees Orientation and mentoring of VHSNCs & RKSs Education and awareness generation Collation of community experiences of health services Preparation of village and facility report cards Sharing of report cards Monitoring and information sharing on health services Public dialogue Engagement with providers on community issues Follow up action to resolve issues and gaps Regular meetings to address issues and gaps Incorporation of community needs into PIPs

Scaling up CAH FY 2016-17 Pilot Phase (2007-09) 1620 villages 36 districts 9 states 2,02,162 villages 353 districts 22 states

AGCAs technical support for scaling up Capacity building and mentoring of state institutions and implementation organizations Oriented over 1900 State and District Nodal Officers and organisations Developed manuals, tools, communication materials Adaptation of resource materials by 7 states: Assam, Gujarat, Meghalaya, Madhya Pradesh, Odisha, Punjab and Rajasthan Facilitated state level visioning and planning exercises for scaling up CAH implementation In FY 2017-18, CAH included by 22 states in State PIPs and the MoHFW approved Rupees 35.72 crore

AGCAs technical support for scaling up Undertake regular programme implementation reviews, including participation in Common Review Mission (CRM) Supporting pilots on: i. Interactive Voice Response Systems (IVRS) ii. Decentralized Participatory Health Planning iii. CAH in urban areas in Delhi, Maharashtra and Odisha iv. Strengthening of Rogi Kalyan Samitis in Jharkhand, Uttar Pradesh and Sikkim

Manuals and Monograph

IEC Materials

Pre- requisites for scaling up i. Prepare a perspective plan to strengthen functioning of VHNCs, RKSs and CAH processes to cover all blocks and districts, in a phased manner Develop a pool of state and district resource persons to support capacity building and mentoring of processes Engagement with the State Institutes of Rural Development (SIRDs) to synergize efforts for capacity building of PRI members on health issues (Punjab and Assam) iv. Strengthen mechanisms for grievance redressal to address the community (CM Online in Madhya Pradesh, Block Grievance Redressal Committees in Maharashtra) v. Long term partnership with NGOs and CBOs is necessary to strengthen CAH and accountability processes ii. iii.