Village Health Sanitation Committee

State Institute of Health and Family Welfare, Jaipur

 Background


 NRHM -an opportunity for reforms in Health Sector



 NRHM Strategy
ØCapacity building of PRIs
ØPromote access to improved health care
ØMicro planning for each village
ØStrengthening sub centers, existing CHC’s
ØPreparation and implementation of an inter-
sectoral district Health plan
Ø

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 ØIntegration of Vertical Health & Family
Welfare Programs
ØTechnical support to National, State and
District Health Missions
ØStrengthening capacity for information
management
ØDeveloping capacity for preventive health
care
ØPromoting Non-profit sector
Ø
Ø


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 Rajasthan: profile
Population : 65.65 million (2009)
Divisions : 07
District : 33
Cities & Towns : 222
Block : 237
P. Samitis : 249
Villages : 41353
Habited Villages : 40476
Gram panchayat : 9189
VHSC : 40476
 SIHFW: an ISO:9001 certified institution 4
 VHSC:Composition

Ø Gram Panchayat members

Ø ASHA, AWW, ANM
Ø SHG leader
Ø Village representative of any CBO
Ø User group representative

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 Profile of VHSC

Ø Name of the Village

Ø Name of GP
Ø Name of Panchayat Samitee
Ø District
Ø Name, address and phone no. of the
Chairperson
Ø Name address and phone no. of Member
Secretary
Ø Name, address and phone No. of members
n

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 Roles and Responsibilities
Ø Awareness Generation
Ø Develop a Village Health Plan
Ø Supervision and Monitoring
Ø Participatory Rapid Assessment
Ø Health problems Identification and solutions
Ø Feedback for corrective measures.
Ø Maintenance of Village Health Register and
Calendar
Ø Ensuring Visits of MPW, ANM
Ø Death Audit
Ø Management of Untied fund for VHC
Ø
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Ø
 Untied Funds for VHC

Ø Rs. 10,000/- per Village Health

Committee
Ø Joint account -ANM and Sarpanch
Ø Village under PHC and not sub center-
new account in the name of Medical
Officer I/C and Sarpanch


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 Utilization of Funds

Ø Sanitation drive
Ø School Health activities
Ø ICDS, AW level activities
Ø Household surveys
Ø Destitute women or poor household
Ø Nutrition, Education, Environment
Protection, Public Health Measures
Ø Publicity of MCHN days, RCH camps


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 Monthly Meeting

Ø MCHN Days
Ø ASHA Sahyogini to facilitate the meeting
Ø All the members to be present
Ø Decisions to be recorded
Ø Plan for expenditures to be approved
Ø Separate Register for Monthly meetings

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 Role of ASHA Sahyogini

Ø Constitution of Village Health Committees

Ø Continued interaction
Ø Keep the members informed
Ø Maintain registers
Ø Support intensive training programs
Ø Facilitate Village Health Plans

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 Reporting System
Physical Report – Annexure 16 of MPR
7 Pointer Simple report

1. No. of VHC’s to be constituted

2. No. of VHC’s Constituted
3. No. of monthly meeting to be held
4. No. of Monthly meeting held
5. Total Funds received in the district
6. Total Expenditures
7. % of expenditures incurred


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Financial Report


Ø Sub center- ANM to submit the financial

report (SoE) to M/O
Ø PHC- Monthly Compilation by
LHV/Accountant- submit to Block CMHO
Ø Block- Monthly compilation by Accountant
and submit to district
Ø District- compilation by DAM and submission
to State.
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 Monitoring
Support system


Ø State level:
ØSIHFW provide technical backstopping
ØTraining modules
ØMonitoring of the programme


Ø District level:
ØCMHO, DPM, District ASHA Coordinator
are responsible
ØConstitution of VHCs

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 ØMaking data base and profile of VHCs
ØFacilitation of monthly meetings
ØFacilitation in Development of village health
plans
ØIncorporation of VHPs in to Block Health
plans
ØAddressing the issues identified by VHC


Ø Block level:
ØBCMHO and BPM are responsible
ØProvide support to PHC level functionaries
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Ø PHC level:
ØASHA facilitator, PHC MO, LHV are
responsible
ØConstitution of Village Health Committees
ØOrganizing Monthly Meetings
ØProviding support in trainings
ØFacilitation in development of Village Health
Plans
ØFacilitation in conflict readdressal
ØOther issues related to VHCs
Ø Village Health Plans
Ø SIHFW: an ISO:9001 certified institution 16
 Training
 Objective


Ø Develop VHSC as strong Vibrant Group

Ø Develop understanding on Health Issues
Ø Empower the VHSC members
Ø Strengthen the group to work
n

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 Training Areas
ØConcept of Health
ØHealth institutions and programmes
ØSocial aspects impacting health status
ØDemand generation for health care
services
ØPlanning and monitoring
ØTeam Building and networking
ØOperational issues
ØRoles and responsibility

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 Village Health Plans

Ø Decentralized Planning Process State

Plan
Ø Village Health Plan for every
Village- Physical Plan
District Health
Ø Developed by VHC Plans
Ø Special trainings of DPM, BPM,
Medical Officers, ANMs
Merged in Block
Ø Facilitated by ANMs Health Plans-
Ø Time Span – 30 days Financial Provisions
Ø Computer Documentation
Ø Implementation through VHC Village Health Plans
Physical Plans
n
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