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CAHR

The Government of India launched the National Rural Health Mission (NRHM) in April 2005 to provide universal access to equitable, affordable and quality healthcare, especially to rural poor, women and children. The NRHM is a comprehensive envelop including all health services within its ambit. It has a three-pronged accountability framework of which community monitoring is one. Community monitoring puts into action the rights based approach and is also seen as an important aspect of promoting community led action in the field of health.

The community monitoring process involved a three way partnership between health care providers and managers (health system); the community, community based organizations and NGOs and the Panchayati Raj Institutions.

CHSJ along with Population Foundation of India carried out community action in nine states of India (Karnataka, Rajasthan, Orissa, Jharkhand, Chhattisgarh, TamilNadu, Madhya Pradesh, Asssam and Maharashtra).

The thematic area on Community Action emerged out of our work on supporting the implementation of Community-based Monitoring process across nine states of India, over the last two years. Community-based Monitoring of health services is a key monitoring and communitisation strategy of National Rural Health Mission (NRHM) to ensure that the services reach those for whom they are meant.


Community Level Monitoring of Health Expenditure - CHSJ had initiated Community level Monitoring of Health Expenditure in the states of Orissa and Assam. It is currently implementing the project in 24 villages in these two states. A  range of activities that had taken place include meetings with  Gaon Kalyan Samiti (GKS), Rogi Kalyan Samiti(RKS), Secondary data collection from various stakeholders, wall writing and so on. A Community enquiry had been conducted that include mobilization meeting, village health mapping, free listing, Group discussion with women, case studies, observation in Sub Centre(SC), Primary Health Centre (PHC) and Sub Divisional Hospital (SDH). The GKS and RKS members are being trained.

Events

  • Training of Trainers (Resource Group Training): Punjab Community Monitoring - January 17-19, 2011,  Chandigarh The State of Punjab is in process of rolling out the Community Monitoring project in State. CHSJ provided the technical support to the State. A training was conducted from Jan 17th to 19th 2011 in Parivar Kalyan Bhavan for select resource persons of the State.
  • Leadership Development Training (DPM Training), Assam - August 2- 6, 2010,  Guwahati The training Programme designed to improve Effectivity, Accountability, and Communitisation of health system, was a collaborative effort between the Centre for Health and Social Justice (CHSJ), the Global Health Leadership Program at the University of Washington, National Rural Health Mission, Dept of Health and Family Welfare, Govt. of Assam and the Regional Resource Centre North East.
  • National Dissemination of Community Monitoring June 16th 2010,  New Delhi A National Dissemination Meeting to share the implementation process, results and outcomes of the community monitoring process with relevant stakeholders from different states.

Publications

Reviving Hopes Realizing Rights

The community monitoring project took place across 9 States of India from 2007-09. This project report describes the process, results, innovation and recommendation by the review team.