Village Health Sanitation Committee (VHSC)

 

The NRHM framework support decentralized planning & monitoring up to the grass root level. Therefore it was decided to entrust village level committees of the users group, community based organization for the planning monitoring & implementation of NRHM activities into the 41000 revenue villages of the State.
 
Village Health & Sanitation committee (VHSC) feed such groups, which is the fifth committee (Development Committee) of the Gram Panchayat. The VHSC will be the key agency for developing Village Health Plan & the entire planning of village Panchayat for NRHM. This committee comprises of Panchayat representatives, ANM, MTW, Aganwari workers, Teachers, Community health volunteers, ASHA.
 
The State is presently having 9189 Gram Panchayats where such committees exist. It is planned to organize the training of at least 25 % of these committees on village health need identification & local action under NRHM. It is also proposed to provide Rs.10000/- to all VHSC for supporting their efforts in developing Village Health Plans.
 
Role of Village Health Committee
Activities
        Create Public Awareness about the essentials of health programmes.
        Discuss and develop a Village Health Plan based on an assessment of the village situation and priorities identified by the village community.
        Analyze key issues and problems related to village level health and nutrition activities, give feedback on these to relevant functionaries and officials. Present annual health report of the village in the Gram Sabha.
        Participatory Rapid Assessment: to ascertain the major health problems and health related issues in the village. Estimation of the annual expenditure incurred for management of all the morbidities may also be done. The mapping will also take into account the health resources and the unhealthy influences within village boundaries.
        Maaintenance of a village health register and health information board/calendar: The health register and board put up at the most frequented section of the village will have information about mandated services, along with services actually rendered to all pregnant women, new born and infants, people suffering from chronic diseases etc.
        Ensure that the ANM and MPW visit the village on the fixed days and perform the stipulated activity; oversee the work of village health and nutrition functionaries like ANM, MPW and AWW.
        Get a bi-monthly health delivery report from health service providers during their visit to the village.
        Take into consideration of the problems of the community and the health and nutrition care providers and suggest mechanisms to solve it.
        Discuss every maternal death or neonatal death that occurs in their village, analyze it and suggest necessary action to prevent such deaths. Get these deaths registered in the Panchayat.
        Managing the Village health fund.

Composition of the Village Health Committee
 
This committee would be formed at the level of the revenue village (more than one such villages may come under a single Gram Panchayat).
 
Composition: The Village Health Committee would consist of:
        Gram Panchayat members from the village.
        ASHA, Anganwadi Sevika, ANM
        SHG leader, the PTA/MTA Secretary, village representative of any community based organization working in the village, user group representative.
 
The chairperson would be the Panchayat member (preferably woman of SC/ST member) and the convener would be ASHA; where ASHA is not in position it could be the Anganwadi worker of the village.
 
Some yardsticks for monitoring at the village level
        Village Health Plan
        NRHM indicators translated into Village health indicators
 
Some tools for monitoring at the village level
        Village health Register
        Records of the ANM
        Village Health Calendar
        Infant and Maternal death audit
        Public dialogue (Jan Samvad)
 
Powers of the committee
        The convener will sign the attendance registers of the AWWs, Mid-Day meal Sanchalak, MPWs, and ANMs.
        MPWs and ANMs will submit a bi-monthly village report to the committee along with the plan for next two months. Village Health Committee would decide format and contents of the bi-monthly reports.
        The committee will receive funds of Rs 10,000 per year. This fund may be used as per the discretion of the VHC.
 
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