Community Action for Health Arunachal Pradesh Regional Workshop on Community action for health Guwahati-24th &25th January’2017

Constitution & Composition of State AGCA/SMG State Advisory Group on Community Action (AGCA) notified 4th JULY 2012 State Nodal NGO selected 2012-13 - Daying Ering Foundation from Pasighat with support from Karuna Trust, Naharlagun. 3 pilot blocks were selected.

Frequency of the state AGCA/SMG meetings during FY 2016-17 One meeting held in 2016

Scale of the implementation of CAH-districts, blocks, panchayats, VHSNCs District identified -EAST SIANG 3 blocks - 3 PHC / CHCs in each of the block 9 PHCs/ CHCs selected, 5 villages/facility - 45 villages covered 49 VHSNC were oriented (128 members). kebang (Local panchayat) headed by the chief of the village(GB). VHNSC oriented through the Kebang chief The NGO block facilitator discuss with village chief and fixes the date for sensitization. At the block level, the findings were discussed with the head of KEBANGs and PHC/CHC level committees. Messages delivered about the community monitoring were also done through KEBANG only. Community Monitoring Exercises & Collation of information were done for all the blocks after sensitisation of VHSNCs.

Institutional mechanism for implementation of the CAH (detailed in next slide)

Approach to key processes under CAH: Awareness generation on entitlements Done through meetings and through local kebang . Strengthening of VHSNCs including availability of untied fund, training and regular mentoring 1.VHSNC members training on going at district/block level. 2. VHSNC monthly meeting 3. Untied fund (as per utilisation) 4. Monitoring carried out by BCMs Strengthening of Rogi Kalyan Samiti, Planning and Monitoring Committees or equivalent 2 members each from RKS committee training along with the VHSNC members Jan samwad and follow up action 3 public hearings were conducted in the presence of government, NGO and in front of the Kebangs , community about the findings and actions were made to mitigate the gap . -

Institutional mechanism for implementation of the CAH : Mechanisms to address the gaps identified Done through meetings and through local kebang style. Grievance redressal mechanisms in place District level- DANO,DCM, RKS committee re notified as RKS cum Grievance redressal committee. Progress under CAH as per approved RoP FY 2016-17 All the Blocks under East Siang Covered Resource material produced under CAH such as IEC, films, booklets, manuals etc- - Case studies- Best practices in community action- Utilising local body(kebang) for decision and discussion Status of fund utilization in FY 2016-17- Not yet released(State Treasury) Plans for scaling up in FY 2017-18 Expand the CAH in another 2 districts; Changlang & West Kameng. Regional level training on Community monitoring. Exposure visits on best practice of Community Monitoring for the state as well as the district program officers. -

Institutional mechanism for implementation of the CAH State level DHS-Chairman Mission Director-VC St. Nodal Officer- MS Jt.DHS(FW)other Members St. Epidemiologist Consultant WHO SPO(M&E) Jt. Dir(RNTCP) Jt. Dir(NVBDCP) DMO(East Siang) Consultant RRC for Arunachal Dr. Otem Moyong(Asst. Professor-RGU) Dr Egul Padung-Daying Ering Foundation Dr Tage Kanno, Future Generation(NGO) Anup Sarmah(Karuna Trust- NGO) -

Institutional mechanism for implementation of the CAH : District level DC- Chairman DMO-V.Chairman DRCHO- Member Secretary ZPM-Chair Person Jt.DHS (T&R) Pasighat- member DDSE, Pasighat Dy. Director(ICDS) DPM(Pasighat) DCM, Pasighat) Nodal NGO(Daying ering Foundation, Pasighat) VHAI Mrs Iyne Taloh(Women Representative) Mrs. Nano Jamoh(Women Representative) Block level Moi/c, Block Community Mobilizer, AF Sector level/panchayat level VHSNC members/PRIs in VHSNC meeting & other meetings on CM. Village level ASHA , AWW Convergence with stakeholders esp PRIs, ICDS etc. During VHND, VHSNC meeting, PRI members in VHSNC meeting, Teachers involved in meeting,Local women group (ABK women wing), AWW/Supervisers in VHND/VHSNC meeting

VHSNC & RKS member training District Number of members trained Number of Batches completed Tawang - West Kameng 260 7 East Kameng 507 18 Papum Pare 272 13 Lower Subansiri 177 Kurung Kumey Upper Subansiri West Siang East Siang 198 5 Upper Siang L. Dibang Valley 81 Dibang Valley 28 6 Lohit 63 Anjaw 370 Changlang 373 11 Tirap 178 3 Longding

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