STATUS OF COMMUNITY MONITORING IN J&K Dr. Mohan Singh MBBS, MHA MD, NHM, J&K Dr. JITENDER MEHTA MBBS, MHA PM, ASHA, CPIC,, SHS J&K

In the Sate of J & K the devolution of powers to the PRIs pertaining to H & FW Dept. have been executed as in the following Govt. Order:-

ACHIEVEMENTS Village Health Sanitation Nutrition Committees (VHSNC) have been formed in all 6881 villages in the states in Subsequently, VHSNC have been re-constituted to include the newly elected members of the Panchayati Raj Institutions (PRI's) through a government order in September, 2011.

ACHIEVEMENTS……. Interaction meetings/Melas with VHSNC members have been organized at the district and block level to orient them on the various components of NHM and their roles and responsibilities. Approx VHSNC members have been reached through about 350 block and district meetings. But as per new guidelines, which say VHSNC should have members, in that case we may have to orient around a lac members, in the reconstituted committee.

ACHIEVEMENTS……. A total of 677Rogi Kalyan Samities (RKS) have been constituted in health facilities at the PHC 565, CHC 88 and District Hospital 24. The governing body of these committees are chaired by the local Member of Legislative Assembly (MLA) and include officials from the departments of Health, Integrated Child Development Scheme (ICDS), Public Health Engineering Department (PHED), Education, along with NGO representatives. SHS has developed a diary which covers various aspects of NHM, including roles and responsibilities of ASHA and VHSNC members. This has been printed and distributed to 4000 Gram Panchayats in the state. SHS has prepared a booklet on 'Guidelines for Devolution of Functions to PRIs in Health'. This booklet has been distributed to all line departments and PRI members in the state.

RKS & VHSNC MEETING IN J&K IN FY KASHMIR DIVISION NO. OF DH RKS NO. OF CHCs RKS NO. OF PHCs RKS NO OF VHSNCs NO OF DH RKS MEETINGS HELD NO OF CHC RKS MEETING S HELD NO OF PHC RKS MEETING S HELD NO OF VHSNC MEETIN GS HELD JAMMU DIVISION NO. OF DH RKS NO. OF CHCs RKS NO. OF PHCs RKS NO OF VHSNCs NO OF DH RKS MEETINGS HELD NO OF CHC RKS MEETING S HELD NO OF PHC RKS MEETING S HELD NO OF VHSNC MEETIN GS HELD TOTAL J&K

UTILIZATION OF FUNDS FOR THE FINANCIAL YEAR B.2Untied Funds/Annual Maintenance Grants/ Corpus Grants to HMS/RKS Physical Nos. Budget Approved Expenditure ending Dec.2015 % age of Utilization B.2.1District Hospitals24* % B.2.3CHCs88# % B.2.4PHCs % B.2.5Sub Centres % B.2.6VHSC % Total 1, % * Sarwal Hospital & GB Pant Hospital #MGM Kathua and Rajiv Gandhi Hospital Jammu Division, MCH Anantnag & SDH Sopore Kashmir Division Annexure A_DH Allocation.xlsx CHCs.xlsx RKS District wise.xlsx

AGENDA Strengthening of VHSNCs......Training of PRIs Activation of RKSs.....Re-structure the span of GB & EC meetings & subsequent.structured reporting of the the same to GoI. Community Enquiry, Sharing of report cards & dialogue Iterative annual training of VHSNCs & RKSs. Meaningful integration & covergence at all levels within & outside the dept. as in J&K. Regular meetings of State ASHA M&MGs. Only 25 states covered rest to be covered also. More convergence of union ministries concerned at GoI level.

ISSUES & CHALANGES HUGE Nos. TO BE TRAINED RESOURCE CAP STATE SCENARIO