ChecklistOrganizing VHND effectively

ASHAAWWANMPRI

Digvijay Trivedi, MBA, MA(Economics), PGDRD, PGDCPMProgramme Officer , SIFPSA

Objectives

Field Level• Ensuring community

participation• Improve coordination

among ASHA/AWW/ANM• Increase client follow up• Ensure sufficient logistics

arrangement and its use• Improved recordkeeping

Block/District Level• Ensuring timely support at

the field level• Monitoring and feedback• Improved MIS

About the Event

ServicesPregnant woman registration,ANC , Vaccination :0-1, Vitamin A and Supplementary nutrition to children, Anti TB drug, Distribution of contraceptives and referrals for FP

Community discussion Danger signs of pregnancyInstitutional elivery and PNC, EBF, Nutrition, Diarrhoea and respiratory infections care, Prevention of malaria, TB, HIV/AIDS, STI, hygiene, sanitation, age at marriage , sex selectionIdentification

Children with disability, malnutrition, anemic , Cases of TB, Leprosy and kala azarProblems of old and destitute, SC ST, minorities and weaker sections

Data CollectionNumber of children with disabilities, outbreak of disease Deaths of children and women , Data compilation related to SC, ST, minorities and weaker sections

Check 1- Pre VHND activities

• All households visited, specially SC, ST, minorities Yes No, specify reason

• List of currently PW ready and updated Yes No, make visit to HH for identification

• List of women coming for first ANC Yes, make it ready for ANM No, specify reason

• List of infants need immunization Yes, communicate it to the ANM No, specify reason

Check 1- Pre VHND activities• List of children need care for malnutrition

Yes, make it ready for ANM/AWW Partially done, ensure complete listing next month No, specify reason

• Children missed during pulse polio round Yes, communicate ANM No, specify reason

• List of TB patient Yes, ensure drug administration No, specify reason

• Coordination with AWW and ANM Yes, briefing about the number and type of expected participants

shall be done No, do it now.

Check 2- On the day -VHND

• All the listed women come for services Yes, No, contact them

• All the listed children come to VHND Yes, No, contact parents for reasons

• Expected service providers attended VHND Yes, No, inform MOIC/CMO, request to attend next VHND

Check 2- On the day -VHND

• Listed beneficiaries came and received services Yes, plan next level of services to them No, inform ANM/AWW/MOIC

• VHND completed successfully Yes, start planning for the next VHND No, list reasons and communicate to ANM/AWW/MOIC

• Identification of areas of improvement Yes, share it with AWW/ANM/PRI No, discuss with AWW/ANM/PRI

Outcome

• At the village levelManagement o Increased service delivery at door stepo Timely availability of service providerso Registration for JSY, JSSK and other schemeo Increased acceptability/ recognition to ASHAo One place /one window coverageService deliveryo Identification of high risk cases: delivery, anemia,

malnutrition etc.o Client follow up: FP, delivery immunization TB etc.o 100% coverage can be ensured

Outcome

• At the District/block levelManagement o Proper monitoring and feedback o Trust building of the health dept and administrationo Real time data base managemento Issues redressal at the field levelService deliveryo Better planning for logistics and service deliveryo Management of high risk caseso Increased coverage of all national programmes

Suggestions are requested for improvement

Thank You