Enhancing Community Participation in Health Care Initiatives in Nagaland
Nagaland is implementing community health action through VHSNCs and promoting ownership via village health committees. The Nagaland Health Project, supported by the World Bank, aims to improve health service delivery and involve communities in enhancing access to healthcare, nutrition outcomes, water sanitation, solar energy, and more. Target indicators focus on awareness campaigns, equipment functioning, ANC check-ups, JSY benefits, and child monitoring. The state is gearing up for training sessions to empower VHSNC members for effective community health monitoring and action.
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Community Participation in Health Care Nagaland Regional Consultation on Community Action For Health 24th 25th January 2017,Guwahati
Status of VHSNC: No. District 1 Kohima 2 Mokokchung 3 Tuensang 4 Phek 5 Mon 6 Wokha 7 Zunheboto 8 Dimapur 9 Peren 10 Kiphire 11 Longleng No. of Villages 94 102 121 104 110 130 198 216 106 103 40 1324
As of now, in Nagaland, community monitoring and action for health is done through the VHSNCs. Approval has been given in the ROP2016-17 for implementation of CAH as per the guidelines in 1 district i.e. Mokokchung as pilot. However, due to time constraints, it is still yet to be initiated. No State Trainers. Training of VHSNCs has been approved in the RoP 2016-17. ToT for District Trainers and block level trainings of VHSNC members will be conducted during Feb-March 2017. Printing of VHSNC training manuals completed.
To promote ownership and community participation, the State has the following structure in place i. At village level: a. Village Health Committee b. Common Health Sub-centre Committee ii. At CHC/ PHC level Health Centre Managing Committee was constituted with representatives of VHCs and Village Councils of all constituent villages and towns falling within the respective CHC/ PHC areas.
Nagaland Health Project Introduction Nagaland Health Project is supported by World Bank and implemented by Department of Health and Family Welfare, Government of Nagaland. The Project envisions to improve the health system service delivery by investing in multiple areas. Important objectives: - Stengthening the community involvement in improving access to health care,Improving health and nutrition outcomes. - Other areas include: Water sanitation, solar energy, supply chain management, capacity building etc.
Target Indicators 1. At least 3 awareness Campaigns on health, nutrition, sanitation or related issues in the last six months 2. ASHA should have all of the drugs & equipment from a specific list of basic equipment and this equipment should be functioning and drugs should not be expired. 3. All monthly VHNDs held with presence of ASHA and AWW plus growth monitoring happens (composite) 4. Those children born in the village last six months have their birth registered. For those women who gave birth in the village (home + institutional delivery) in the last six months: 5. Had got their pregnancy registered and had received a MCP card when they were pregnant . 6. Had received at least 3 ANC check ups from any provider when they were pregnant 7. Have received their JSY benefits 8. Those children who were delivered at home in the last six months have been weighed during a visit from the ASHA in the first 24 hours
Target achieved: Comparison of baseline and post intervention at pre-pilot villages. Target Indicators Baseline Target achieved awareness Campaigns on health, nutrition, sanitation or related issues in the last six months 0 100% (3) ASHAs have all of the drugs & equipment from a specific list of basic equipment (Paracetamol. ORS, Condom, Weighing Scale, Thermometer, Blanket) 3 100% (6) monthly VHNDs held with presence of ASHA and AWW plus growth monitoring happens (composite) 3 108% (12) children born in the village in the last six months have their birth registered. 1 24%(6/24) pregnancy registered and had received an MCP card when they were pregnant . 9 97.5% (23/24) received at least 3 ANC check ups from any provider when they were pregnant. 5 58% (14/24) Have received their JSY benefits 1 0% (24) children who were delivered at home in the last six months have been weighed during a visit from the ASHA in the first 24 hours. 0 33.33%(2/6)
