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)

Dist. SensitizationNutrition Camp

SHG Para meeting

GUS SensitizationSHG Training

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