|
Sudarshan Das
|
NRHM has emphasised on community based monitoring which includes not only engaging community in monitoring of health services but also planning and implementation of the schemes that promote good health of the people. This process is not considered as a fault finding but a fact finding mechanism and promotes good understanding between community and service providers for better outcome of the health care services. Community monitoring is also a mechanism for ensuring greater government accountability and transparency in health care to its citizens at the local, regional and national levels. The community based monitoring (CBM) process was first initiated as a pilot in nine states of the country including Odisha.
|
The Advisory Group for Community Action (AGCA) was constituted under the chairmanship of Mission Director, NRHM, to provide technical support for the implementation of community monitoring during the pilot phase. The same group was notified to provide technical support for the implementation of GSS. The group is headed by Mission Director, NRHM and consists of directors from health, women and child development, panchayati raj and rural development departments and members from civil society organisations.
Roles and responsibilities of AGCA
|
|
Process of formulating Gaon Swasthya Samikhya programme
the process is to start from the village where gaon kalyan samitis (GKS) have been formed at the revenue village level to be a platform to address the health issues and promote community level action. GKS members meet every month to discuss the health issues of the village. It is proposed to use this opportunity to integrate the discussion on birth and death in the meeting, leading to further analysis of causes, service availability and utilisation, and identify action points at different levels that could prevent such deaths. This will be linked to reporting and analysis on the delivery, quality, availability, and reach of the services at the village/gram panchayat (GP), block and district level and taking appropriate actions for required service delivery. Focus being fact finding not fault finding and moving from event to service and evidence based analysis and reporting. |