Santilata Mishra

Tutor
College of nursing
M.K.C.G MCH ,BAM
 VILLAGE HEALTH AND NUTRITION DAY
Village Health and Nutrition day(Mamata Diwas) a concept for
interdepartmental convergence having desirable health outcomes of
 Pregnant women,
Lactating mothers,
Children below five years
 Adolescent girls
It is being introduced in the state of Odisha by the department of
Health & Family welfare Deptt. The Govt of India (H&F.W. Deptt)
have launched this program in the year 2005 .

Contd…..
 This would provide the first point of contact for essential primary
health care and would work as the common platform for
convergence amongst service provider of health , ICDS & the
community .
 The program would be organised once in a month every
Anganwadi centre on a fixed day basis (Tuesday or Friday) with
joint efforts of ANM, AWW & ASHA . The Anganwadi centre is
identified as the hub for the service provision (NHM)
 OBJECTIVES
 To provide essential and comprehensive health and nutrition services to
pregnant women, lactating mothers, children (0-5 years) and
adolescencent girls.
 To ensure early registration, identification and referral of high risk
children and pregnant women.
 To provide an effective platform for interaction services provider and
the community (through Gaon Kalyan Samit or the mother’s group)
 To provide information to families on care of mothers and children at
the household and the community level through discussion of various
health topics (as envisaged in Health calendar).
 To ensure establishment of linkage between health and ICDS as to
promote maternal and child survival program.
 SERVICE PACKAGE S FOR V.H.N.D

1. MATERNAL HEALTH
2. CHILD HEALTH
3. FAMILY PLANNING
4. RTI & STI
5. SANITATION
6. COMMUNICABLE DISEASES
7. GENDER
8. AYUSH
9. HEALTH PROMOTION
10.NUTRITION
 1.MATERNAL
HEALTH
 Early registration
 Focused on ANC
 Referral for women with signs & complication during pregnancy &
those are needing emergency care
 Referral for safe abortion to approved MTP Centre
 Counselling on education of girls
 Age of marriage
 Care during pregnancy
 Birth preference

Contd…..
Cont.
 Importance of nutrition
 Institutional delivery
 Availability of funds under JSY
 Post natal care
 Breast feeding & complementary feeding
 Care of New born
 Organising group discussion maternal deaths, if any that have
occurred during the previous month in order to identify and
analyse the possible causes.
 2.CHILD HEALTH

 Infant up to 0-5 yrs

 Registration of new birth
 Counselling for care of new born & feeding
 Complete routine immunisation
 Immunisation for children
 Tablet IFA (small) to children with clinical Anaemia
 Weighing

Contd…..
Cont.
 Provision of supplementary foods for mild malnutrition and
referral for severe malnutrition
 Case management of those suffering from diarrhoea and
Acute Respiratory Infections.
 Counselling to all mothers on home management and where
to go in event of complications
 Counselling on nutrition supplementation and balanced diet
 Counselling on and management of worm infestation
 3.FAMILY PLANNING

 Information on use of contraceptives

 Distribution – provision of contraceptive counselling and
provision of non –clinic contraceptives such as condoms and
OCPs
 Information on compensation for loss of wages resulting from
sterilisation.
 4.RTI & STI
 Counselling on prevention of RTIs and STIs including HIV/AIDS
and referral of cases for diagnosis and treatment.
 Counselling for premenopausal and post-menopausal problems
 Communication on causation, transmission and prevention of
HIV/AIDS and distribution of condoms for dual protection.
 Referral for VCTC and PPTCT services to the appropriate
institutions.
 5.SANITATION

 Identification of households for the construction of sanitary

latrines
 Guidance on where to go and whom to approach for availing of
subsidy for those eligible to get the same under the Total
Sanitation Campaign.
 Avoidance of breeding sites for mosquitoes.
 Mobilization of community action for safe disposal of
household refuse and garbage.
 6.COMMUNICABLE DISEASES

 Group communication activities for raising awareness about

signs and symptoms of leprosy & T.B, suspected cases and
referral.
 Group communication activities for elimination of breeding
sites for mosquitoes, management for fever cases, i.e
important collection of blood film for MP and prevention &
treatment.
 7.GENDER

 Communication activities for prevention of pre-natal sex

determination, illegality of pre-natal sex selection and
special alert for one daughter families.
 Communication on the Prevention of Violence against
Women, Domestic Violence Act,2006.
 Age at marriage, especially the importance of raising the
age at marriage for girls.
 8.AYUSH
 Home remedies for common ailments based on certain
common herbs and medicinal plants like tulsi found in the
locality.
 Information related to other AYUSH components, including
drugs for treatable conditions like anaemia
 9.HEALTH PROMOTION

Chronic diseases can be prevented by providing information

and counselling on:
Tobacco chewing
Healthy lifestyle
Proper diet
Proper exercise
 10.NUTRITION
Diseases due to nutritional deficiencies can be prevented by giving
information and counselling on:
Healthy food habits.
Hygienic and correct cooking practices
Checking for anaemia, especially in adolescent girls and pregnant
women, checking advising and referring.
Weighing of infants and children
Importance of iron supplements, vitamins and micronutrients.
Food that can be grown locally
Focus on adolescent, pregnant women and infants aged 6month to 1year.
REQUIREMENTS FOR
ORGANISING VHND
ASHA
AWW
 PRIs members
 Helper of AWW
Other Staffs to come from village
ANM
Male MPW
 ASHA facilitators (if available)

Contd…..
INSTRUMENTS, EQUIPMENT
AND FURNITURE
 Weighing scale –Adult & child
 Examination table
 Bed screen
 Haemoglobin meters , kit for urine examination
 Gloves
 Slides
 Stethoscope and blood pressure instrument
 Measuring tape
 Fetoscope
 vaccine carrier with ice pack
Supplies
 Vaccine
 IFA tablets
 Vita A
 Condoms
 OCPs
 ECP
 ORS
 Anti -helminthic drugs
 Chloroquine
 Anti TB drug
 Paracetamol
 AD syringe sufficient quantity
 IEC material for communication and counselling
 CALENDER OF HEALTH TOPIC
Jan
 Maternal Health, Three ANC, Tetanus immunization, IFA
supplementation, Danger signs of pregnancy, Birth preparedness,
institutional Delivery & JSY
Feb
 PNC, Breastfeeding, bleeding, P.V, Anemia etc
Mar
 Care of New born, immunization, importance of Post natal visit
Apr
 Heat wave preparedness and prevention of communicable diseases like
TB, Leprosy
May
 Care of Adolescent girls, Age at marriage, Prevention of STI & RTI, HIV
& AIDs, Prenatal Sec selection
Jun
 Prevention and home management of Diarrhea, Safe water, sanitation and
personal Hygiene
 Cont...
Jul
 Prevention and treatment of malaria.
Aug
 Exclusive Breast Feeding, weaning and complementary
feeding
Sep
 Growth monitoring, Growth faltering, referral & treatment
Oct
 Importance of Vitamin A, ID Disorders and Anemia control
Nov
 ARI, Danger signs and early referral
Dec
 Birth Spacing & contraceptive devices
 Publicity for VHND
PUBLICITY
•Day and time
•Site
•Key services
 Cont...
WHOM TO INVOLVE
 PRI members
 SHG members
 Teachers and other informal leaders
 School children
 All beneficiaries
 TBAs and other RMPs
MEDIA AND METHODS
 Wall writings in the local language
 Hoarding at one or two prominent places in the village
and pamphlets
 
ROLE AND
RESPONSIBILITIES
ADMO
ADMO (FW) will be the Nodal Officer of Mamata
Diwas at district level and MOIC at the block level
CDMO /District level officer
Activities-CDMO orient to the guideline of VHND on the
theme of the month
Skill identify and monitor –Identify skill needed for
VHND
Supervising –supervise minimum 4-6 VHNDs every
month in district
Reporting –co-ordinate the activities at district level and
submit the report to the state with help of DPMU
 Cont..
MO/CDPO/AYUSH MO/BEE/BPO
Activities-orientation of ANMs ,AWW, BPO,ASHA on the
theme of the month
Training and orientation- under takes orientation of ANM
on the VHND guideline
Co-ordinates (co-ordination, co-operation &reporting) the
activities at block level under the direct supervision and
submmitte the report to District HQ
Supervision-supervise 8-10 VHNDs in the block on every
month
Cont...
ICDS Supervisor /LHV
 Activities-Random checking-the weight
 Counselling –counselling of family members for
growth promotion, to adolescent girls Anaemia &
Menstrual hygiene
 Supervising –supervise the assessment & treatment
skills of ANMs & AWWs
 Referral –prepare a list of children women needing
referral
Cont...
ANW
Registration-
Registration& filling ANC card
Examination-
Abdominal examination, urine examination , weighing,
examination of anaemia & danger signs
Distribution –Distribution of IFA, condoms ,oral pills &
de worming to adolescent girls
Referral- Referral eligible couple for other method of
contraception of their choice
Cont...
AWW
Organizing-Organizes for weighing& feeding
demonstration
Management-Treat minor elements, MP slides
collection , RDK testing
Recording and reporting-complete records and
month information with ANM
Follow up
Cont..
ASHA
Home visit –Visit the families and inform to them
mobilization
Enlisting –makes a lot of children with special
needs
Co-ordinates –co-ordinates with the ANM &
AWW
PRI & GKS
To support in the organization of VHND and
motivate families to participate
Financial guide lines
 Toensure smooth implementation of programme
provision of Rs 100/- for the ANM & 50/- for the
AWW has been made as TA per session where as for
ASHA RS 50/- is to be provided as incentive(Block MO
will make necessary arrangement for regular payment)

 There is a provision of first referral transport cost of Rs

150/- , if the distance between the VHND site & the first
referral point is less than 10k.m, if more than
10 km to be paid Rs 200/-
conclusion
It is a joint initiative of health and family
welfare Deptt. to strengthen health of mother,
child and adolescent girls and to identify risk of
mother and children and provided
comprehensive health services at the door step
level for community.
“HEALTH IS WEALTH FOR ALL”