Strengthening VHSNC through Community Health Care Management Initiative (CHCMI) programme in 5 districts of West Bengal Jalpaigu ri North Dinajpur Malda Murshidaba d South 24 Pgs. Child In Need Institute www.cini-india.org
Dec 28, 2015
Strengthening VHSNC through Community Health
Care Management Initiative (CHCMI) programme in
5 districts of West Bengal
Jalpaiguri
North Dinajpur
Malda
Murshidabad
South 24 Pgs.
Child In Need Institutewww.cini-india.org
CHCMI Programme (2010-13)
Objective• Coverage of primary
immunization • Identification of left
outs/drop outs• Promotion of personal
hygiene • Supplementary feeding • Regular weighing and
referral to AWC
Coverage • South 24 Parganas
(Population covered: 71,80,000 out of Total population 81,61,961*)
• Murshidabad
(Population covered: 44,30,000 out of total population 71,03,807*)
• Malda (Population covered: 18,76,000 out of total Population 39,88,845*)
• North Dinajpur
(Population covered: 11,50,000 out of total population 30,07,134*)
• Jalpaiguri
(Population covered: 25,84,000 out of total Population 38,69,675*)
* Census 2011
Total Population covered in 5 districts :
1,72,20,000 out of 2,61,31,422
StrategiesPreparatory Phase
• Training of staff (ToT)• District wise stock taking on VHSNC formation, UC
collection, etc.• Preparation of training plan and module (for the
grass root level)
Sensitisation phase
• District, Block and GP sensitization• GUS orientation
Facilitation Phase
• GUS formation (where ever not formed)• SHG selection (as per guideline)• Regularize convergence meetings & Health plan
preparation• Utilisation Certificate collection (2007- 2010)
Implementation Phase
• Training & Handholding Support to SHGs in 3 phases 1st Phase (Baseline survey) 2nd Phase (Compilation & prioritization) 3rd phase ( Specific plan)
Supervision • Evaluation of performance of SHG/ GUS
Intervention & Progress
Time line
Activities performed
1st Year 5 District sensitization
72 Block Sensitisation759 GP sensitization
8610 GUS orientation
Formation of Ad hoc committee where ever GUS was non functional
2nd Year 3 phased SHG training for 8610 SHGs• 1st Phase (Baseline survey)• 2nd Phase (Compilation &
prioritization)• 3rd phase ( Specific plan)
3rd Year Sansad level sensitizationEnd line Assessment
Contribution of SHGs in CHCMI SHGs coordinated with ASHA
& AWW in identification of left out and drop out women for ANC-PNC, and children for immunization, SNP, Growth Monitoring & enrollment in AWC
SHGs as representing beneficiaries, acted as link person between service providers & community
Advocated for rights & entitlements of health as well as creates demand
Achievement
VHSNC formation
SHG selection and Capacity Building
Regularization of 4th Saturday meting
Regularization of 2nd Tuesday meeting
SHG payment
Fund Utilization & UC collection
Preparation of Micro Health Plan (2012-13)
Ensuring Child and Woman Friendly Community
PRI/ULB
Service ProviderCommunity
Government withdrawn the support of CINI for CHCMI Programme after 2013, but the learning of the programme enriched CINI to continue other programme with an objective to make a ‘Child and Woman Friendly Community’ by utilizing the same machinery (Self Help Groups) to scale-up ‘Community action for Health’.
Challenges
In Many places VHSNCs were not formed
Faced prerequisite urgency to utilize untied fund at GUS
SHGs involved in the CHCMI since 2004-05, required reorientation on content
Difficult to sensitise few key officials at various levels
Political disturbances at places disrupted fund flow and selection of suitable SHGs
Embargo during election (March-June’11) hindered work progress