Abstract of Dissertation

Agency : Village Health, Nutrition Day, NRHM, ANM

Objective : General objective • To assess Village health nutrition day in four blocks of Jhabua district. Specific objective • To assess resources available at the Village health nutrition day in four blocks of Jhabua district. • To assess the services provided at Village health nutrition day in four blocks of Jhabua district.

Background : The Village Health and Nutrition Day has been launched as a primary health care strategy. It delivers a specific integrated package of preventive public health intervention. It is considered as a platform for inter-sectoral convergence. It is managed by workers from both health and WCD departments and seeks the support of community institutions like SHGs, Adolescent girls groups etc. The VHND is to be organized once every month (preferably on Tuesday/ Friday and for those villages that have been left out, on any other day of the same month) at the AWC in the village. VHND is a priority intervention under the National Rural Health Mission (NRHM), Government of India which emerged from attempts to increase coverage of basic health & nutrition services in rural areas.

Methodology : Type of study – It is an Descriptive study blending both qualitative and quantitative Study area – Study carried out in four blocks of Jabhua District, in state Madhyapradesh. Sampling procedure - Purposive Sampling Method was used Sample size - 50 VHND sites of Jabhua district selected for assessment 32 of VHND. Study period – this study was conducted during period from February 2014 to May 2014

Findings : Study shows that about half of VHND session carried out in Anganwadi centre. Eighty six percent VHND sessions were conducted as per micro-plan. In all VHND sessions ANM was present, but it was found that only 39 AWW & 38 ASHA were present on 50 VHND session held. There were only 8 session found where PRI member were attended VHND session, most of the VHND site didn’t have access to all facilities, all equipment and all medicine. At only 14 VHND sessions Abdominal check up of pregnant women was done, in half of VHND session ANM measure blood pressure of pregnant woman. Only at 10 percent session counseling done by ANM was satisfactory, while at 36 percent sessions counseling was not given by ANM to pregnant women. Not at single session post natal checkup of mother was done, only 54 percent session provide THR to lactating mother, No post natal counseling of mother done by ANM at 38 VHND sessions. only at 50 percent sessions BCG given to children, Vaccines DPT, OPV, HEP B, TT and Measles were available at all the VHND sites and they were giving to the children. At all VHND site adolescent girls were given IFA tablets but Sanitary napkins, TT injection was not been provided at any of the VHND sites, no counseling found on adolescent health, menstrual hygiene, STD etc. TT injections were not given at any of the VHND sites

Recommendations :

VHND is a convergence platform for Health and ICDS, still poor convergence is found among the service provider .Capacity building of ANM is necessary as she performs key role in delivering the services. Active participation of PRI member was found to be low. Most of the non GAK sites were not provided with all equipments and supplies, in most of VHND supportive supervision and hand holding support was lacking. Work plan generated by MCTS is not updated. Poor counseling of mothers about maternal and child health were done. No counseling on communicable diseases, STD, Hygiene practices, chronic diseases etc.