Abstract of Dissertation

Agency : Quality of Village Health, Nutrition Day, Mamta Diwas Centre, Mamta Diwas Skill centers

Objective : To identify the various gaps in Mamta Day Program implementation at community level. To develop an Aadarsh Mamta Day centre at 38 Sub Centre as skill centre for other Mamta day centre. To bridge the indentified gap in service delivery for community

Background : Government of India recently launched a program as Village health and nutrition day which is known as Mamta Diwas in Gujarat. Mamta Diwas is to be organized once every month (preferably on Wednesdays at every AWC and for those villages that have been left out, on any other day of the same month as Friday / Monday) at the AWC or other public facility in the village. ASHAs, AWWs, will mobilize the beneficiaries to assemble at VHND. The ANM / FHW / FHS and other health personnel will be there to provide services on monthly VHND. Service Package for VHND includes: - Maternal Health, Child Health, Immunization, Family Planning, Sanitation & Hygiene, Health Promotion & Education etc.

Methodology : An Experimental intervention study was conducted in Mamta Diwas Sites in district of Gujarat. It was done as Baseline Survey of 125 sample selected from all Mamta Diwas Sites. Systematic Random sampling has been done for finalizing villages then purposive sampling for the selection of Mamta Diwas centre. Standard questionnaire is filled by face to face personal interview & observation. All the staff of Mamta Diwas was covered during interview. Then 38 sub centers under respective PHC selected for intervention which is converted into Aadarsh Mamta Diwas Sites. At last End line survey was conducted which covered all intervened sub centre.

Findings : The analysis of baseline surveys shows that Mamta Diwas Planning, Accessibility, Availability, Drugs & equipment at Mamta Diwas 29 Centre, Records & Documents all these were around 86 % except services at Mamta Diwas centre was poor: around 65%. After doing various interventions with involvement of all stake holders of 38 Sub Centre the end line survey results shows improvement till 95% in all components of Mamta Day Centre. Conclusions: Base line survey analysis shows that we need to put focus in planning (micro plans) and management input in Mamta Diwas implementation at field level. There is still gap lying to achieve a concept of continuum of care and use this program as platform for Adolescent, Maternal and Child Health, Nutrition etc. End line survey clearly describes that the interventions improved the better program implementation by using existing RCH program platform at field level. This can be achieved by sensitizing all stake holders- Taluka Health Officers, Medical Officers, supervisors and frontline worker- and continuously monitoring them will improve program implementation very well in district. Also we can target to implement all intervention on Taluka wise every month so that focus & monitoring will be intensified as well as program will do well. Still there were some gaps which can be sorted out by further research.