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CAHR 2008-2009

Promoting Community Action under NRHM

The first phase of Community-based Monitoring across nine states started in March 2007, and ended on March 31, 2009. The monitoring process involved the capacity building of planning and monitoring committees at different levels to conduct an enquiry into the functioning of the different components of NRHM and uptake of key services. It was an empowering process for the community because it provided the knowledge of different entitlements, services standards and services guarantees that are provided within the NRHM. It also gave them an opportunity to discuss and engage with the health care providers and managers on issues of service delivery. The entire process was facilitated by a set of state level secretariats and a national secretariat which were set up in consultation with the MoHFW and the Mission at the respective levels. CHSJ along with Population Foundation of India (PFI) jointly managed the national secretariat of this entire process.

Website and resource material - During the current year CHSJ was involved in developing a Community Monitoring website (www.nrhmcommunityaction.org) that contains comprehensive information on the different processes of community monitoring. The website also provides easy access to the different report cards prepared as a result of community monitoring through an online searchable database. CHSJ also finalised a series of three manuals for different stakeholders in the process. The Manual for Managers is made with special focus on managers involved in the implementation of NRHM. The Trainers Manual includes detailed session outlines and resource materials for the different training programmes that constitute the process. The Manual on Community Monitoring consists of community monitoring tools that are to be used for conducting the enquiry at the village and facility levels.

Reviewing Hopes, Realizing Rights: A film on Community Monitoring process

CHSJ has successfully captured the intricacies of the process in a 30 minute documentary film. Overall, the film brings out the dynamics of generating voices and demands at the community level. With excerpts from various ongoing community monitoring activities especially the interactions of communities with providers during public hearings, health days etc. coupled with perspectives of policy makers, the film can be used as a part of training package as well as an advocacy tool.

 

Social Auditing of NRHM

This process had been initiated early last year was completed in 8 districts of UP and Uttarakhand. This process clearly highlighted the capacity of local communities to engage in a serious enquiry of health programme delivery and share the finding sensitively to engage the health providers and managers in planning for change. A manual was published to share the methodology and the findings. CHSJ also provided support to IPPF-SARO to develop this methodology for implementation in its member associations in different countries.

The Centre for Health and Social Justice (CHSJ) has been facilitating a process of annual feedback on the National Rural Health Mission (NRHM) with special emphasis on RCH -2 components. CHSJ has also prepared two citizen's reports on the NRHM (2006 and 2007) which have been shared at National Stakeholders Consultation. The consultation was attended by bilateral organisations, UN agencies, Civil Society Organisations from across the country as well as the Government. The citizen's report was very well received by various stakeholders present in the consultation as they acknowledged the need for such independent feedback for understanding the process of implementation as well as mid course corrections.