COMMUNITY ACTION FOR HEALTH IN MEGHALAYA Dated: 3rd Feb 2016

Since Inception Meghalaya initiated Community Monitoring programme in 3 Districts. Now we have in place: SAGCA District Planning & Monitoring Committee PHC Planning & Monitoring Committee VHSNC Planning & Monitoring Committee Facilitator: State Nodal NGO-VHAM District cum Block Nodal NGO in 3 Districts  Grassroot –East Khasi Hills District  Mih Myntdu Community Social Welfare Association- Jaintia Hills District  Bakdil – West Garo Hills District

Programme Coverage  Pilot Stage ( ) 3 DistrictEKH, JH,WGH 9 blocks PHCs VHSNC  Pilot Stage ( ) 3 District EKH, JH,WGH 9 blocks PHCs VHSNC

Progress of the Programme The State level workshop completed. TOT for the CAH District, Block Trainers completed and the Orientation cum Workshop for the PHC Planning & Monitoring Committee members completed in East Khasi Hills & Jaintia Hills District whereas in West Garo Hills District under progress. Training on CAH for the VHSNC members underway in EKH and JH. Constitution of the Block Planning and Monitoring Committee is under progress. Community enquiry for this year in the implemented PHC and SC is ongoing in 2 Districts ie Jaintia Hills & East Khasi Hills. Community are now involved in the community enquiry process. Two AGCA meeting have been organized this year and members have done field review.

Outcome The community have started taken ownership of health services and facilities within the community. The villagers have started to undergo institutional deliveries and regular ANC checkup. VHSNC members have started to know their roles and responsibilities. Help the community raise voice for provision of services & identify local problems and generate solutions. Have started understanding that convergence with different departments will help them achieve common health goals. A large no. of problems getting addressed at the local level

Challenges & Concerns  Frequent turn over of trained NGO staffs hampers the programme. Proper documentation at every level. Lack of initiative from few health department to coordinate with NGOs and different allied department. Lack of regular reporting by the NGOs. Strengthening of the RKS committee is the need of the hour. VHSNC committee training is pending because translation of modules is not completed.

Innovations Documentary film which has been initiated by the District Nodal Officer, East Khasi Hill is completed and showed in the local news channel. Poster on VHSNC roles & responsibility is initiated in EKH to be followed in JH & WGH. Life cycle approach to health care through videography is under progress.

Future Plan Adopting Villages under a particular PHC to serve as a model for implementation of CAH. Strengthening few RKS Committees. Once Village Heath Report Card is generated by the community then the critical gaps can be identified and the system can respond to fill the gaps. Awareness about the entitlements. The process of each activity will be well documented. State will replicate Best practices. Two more districts Ri Bhoi & West Khasi Hills will be proposed in PIP per suggestion of AGCA & the number of villages in old districts will be increased Improvement in reporting & supportive supervision. NGOs to retain skilled manpower. Convergence will be strengthened.

Few Pictures on the Activities

THANK YOU