Abstract of Dissertation

Keyword : VHND, Counselling, Sanitation, Privacy, Supplies

Objective : To assess the functioning of VHND sessions in the villages of SantKabir Nagar, U.P. To assess the availability of drugs and supplies at the VHND sites. To assess the client satisfaction of VHND sessions.

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 girl’s 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 a Descriptive study blending both qualitative and quantitative Study area – Study carried out in four blocks of SantKabir Nagar District, in Uttar Pradesh. Sampling procedure - Random Sampling Method was used Sample size - 60 VHND sites of SantKabir Nagar district selected for assessment. Study period – this study was conducted during period from February 2016 to May 2016.

Findings : Study showed that more than half of VHND session carried out in someone’s residence. Ninety six percent of VHND sessions were conducted as per micro-plan. In all VHND sessions ANM was present, but it was found that only 17% AWW & 8% ASHA were absent on 60 VHND sessions held. Most of the VHND site didn’t have access to all facilities, all equipment and all medicine. Study showed that due to availability of Toilet facility and Privacy, the most no. of VHND sessions were held at the Someone’s residence. All ANC checkups were conducted in 3 blocks excluding Haisar Bazar. In Haisar Bazar 95% of VHND sessions had conducted all ANC checkups. Also, the status for Family planning services is not so good for all four blocks. Semariyawan block had poor status for family planning services at VHND sessions. Semariyawan block had poorest status for family planning services. The beneficiaries at Semariyawan were rigid for family planning services due to their religious thoughts as most of the beneficiaries are Muslim in this block. The status of nutrition support at VHND sessions are very poor in Semariyawan block, However the status of other blocks was also not so good. Only in Khalilabad the status for same was found to be good in comparison to other blocks. The status for counseling for hand washing is neglected in most of the blocks. On an average in 40 percent of VHNDs had done counseling for hand washing. Also, the counselling for household purification of water is missing from most of the VHND sessions, on an average only 46 percent of VHND were had counseling sessions for household purification of water. The Client satisfaction percentage for VHND is about sixty percent.

Recommendations : Proper privacy and toilet facility is required to improve the coverage of beneficiaries for VHND sessions. Logistic support is required for the Semariyawan block for proper and effective VHND sessions. Proper and timely monitoring of VHND is required by MOICs and BPMs of the respective blocks. Logistic availability is needed to be insured before conducting the VHND sessions at any site. Counseling sessions are needed to be given importance during VHND sessions. Propercounseling for family planning services are needed to be done during VHND sessions to the pregnant women. Propercounselings regarding sanitation should be given during VHND sessions. Allbeneficieries should be involved during discussions during VHND. The communication should be in two ways.