Regional Workshop on “Community Action for Health” Gujarat Dr.Rakesh Vaidya (Deputy Director – MCH) Date: - 31st Jan-17 & 1st Feb-17,YMCA,Mumbai

Constitution & Composition of State AGCA/SMG. Overview Included in State NHM PIP from FY 13-14. Priorities in HPTs and HPDs. Focus on capacity building of VHSNCs (GSSs). Support of NGOs/CBOs. Capacity building at grass root level by State.

State Advisory Group on Community Action (SAGCA) Sr.No. Designation of Member Designation in Committee 1 Mission Director (NHM) Chairmen 2 Additional Director (PH) Member 3 Additional Director (FW) 4 State Nodal Officer (CP) (DD RH) 5-6 National AGCA Members 2 Member:- National Secretariat AGCA 7-9 NGO Support Organization 3 Members from CHETNA. 10 Representative from other NGOs Member:-Representative of PFI. 11-14 NGO Representatives 4 Members from NGOs- Who has experience in CAH. 15-16 Invitees 2 Members – who has experience in research, documentation. 17 Convener State NGO Co-ordinator (Team Leader CP) Note:- One meeting held on D.18-10-2016 with National AGCA members. Next meeting is planned on 23rd Feb 2017.

Approach to key processes under CAH: Focus on consolidating and scaling up CAH; Capacity building of VHSNCs(GSSs). Re-orientation of trained VHSNCs. Scaling up of CAH in 79 HPTs & HPDs. Strategy: (a) Existing ASHA /community processes institutional structures; (b) Orientation and mentoring of PRI members; and (c) Existing collectives of Women's/ Self Help Groups (SHG).

Approach to key processes under CAH Continued… Programme implementation strategy The CAH Programme is implemented through district and Taluka level NGOs with support of DHS and Taluka Health Officials (THO). Facilitation of planning and monitoring committee meetings at district and Taluka level. Capacity building of the community processes structures – ASHA facilitators, District Community Mobilizers (In Gujarat DPC) and Taluka Community Mobilizers (In Gujarat THO). Efforts to institutionalize capacity building on CAH for ANMs, ASHA Facilitators, PRI members and SHGs to be initiated through existing structures/institutions. Materials/training modules is to be developed for orientation collectives of Women's/ Self Help Groups.

Community Process guideline in local language. VHSNC/MAS Training Kit. Resource material produced under CAH such as IEC, films, booklets, manuals etc. Developed Guidelines for VHSNCs members in local language with support of CHETNA (RRC). Community Process guideline in local language. VHSNC/MAS Training Kit. Flip booklet for VHSNC members.

Progress under CAH as per approved RoP FY 2016-17 Budget Line Activities Progress B.15.1.1 State level meeting of State AGCA, State Technical Advisory Group One meeting held on Dt.18-10-2016. Other activities are under process. State AGCA meeting - 23rd Feb-2017 IEC Material Development Training Kit of RKS/VHSNC Review meeting of District level partner agencies. Strengthening of planning & monitoring committee at District and Block level. Jansamvad of 77 HPT Blocks B.15.1.2 District level visioning workshops on CAH with PRIs Dt.16-17 Feb for Vadodara Region and Dt.20-21 Feb for Gandhinagar Region. B.15.1.3 Feb 2017.

Plans for scaling up in FY 2017-18 Key Deliverables during the FY, 2017-18 State Level State level guidelines, modules on community action developed/ adapted for training/orientation of GSS, ASHA, SHGs and PRI members. Mapping and selection of NGOs in HPTs Pool of 100 master trainers to facilitate training/orientation of GSS members. Faculty members of SIHFW and CRC staff oriented to facilitate trainings on CAH. External evaluation of CAH program and incorporation of recommendations .

Plans for scaling up in FY 2017-18 Continued… District and Taluka Level (Programme Area) VHAP developed by the VHSNC (GSS) members. Constitution and orientation of DPMC and BPMC at districts/ Talukas. Quarterly meetings of the DPMC and BPMC organized on a regular basis. Two rounds of structured training provided to 5000 VHSNC (GSSs). Re-orientation and handholding of already trained VHSNC (GSSs). Initiation of community enquiry and facility surveys in the 79 HPTs. Jan Samwad at the end of the year in 79 HPTs.  

Mechanisms to address the gaps identified State Level 1) Orientation of master trainers. 2) Mapping of NGOs and selection. 3) State TAG meetings. 4) Training of VHSNC (GSS). 5) Program Evaluation.

District level and below: 1) Formation and Strengthening of District and Taluka Planning and Monitoring Committee (DPMC and BPMC) 2) Training of GSS 3) Mentoring of GSS 4) Development of Village Health Action Plans (VHAP) 5) Community level enquiry 6) Jan Samwaad (Public Hearings)

Status of fund utilization in FY 2016-17 FMR Code Activities Unit of measure Unit Cost (In Lakh) Quantity/Target Target achieved in 16-17 Amount approved (In Rs.) Budget Approved Expenditure Dec-16 ending % of Exp. B.15.1 Community Action for Health B.15.1.1 State Level As per annexure 13.71 NA 13,71,250.00 0.00 B.15.1.2 District Level No.of workshop 1.74 13 1,74,200.00 2481.00 1.42 B.15.1.3 Block Level 4.47 77 4,46,600.00 1,18,990.00 26.64 Total 19.92 90 19,92,050.00 1,21,471.00 6.09

Draft Plans for scaling up in FY 2017-18 Level Budget Line Unit of measure Unite Cost (In Rs.) Target for 17-18 Proposed Budget (In Lakh) a b c d e f State, District and Block Level :- Orientation of Community leader of VHSC,SHC,PHC,CHC etc. (Training of VHSNC) B8.1 No.of Batch As per annexure 1868 1148.02 District Lelvel:- (Orientation of RKS PRIs Member) B8.2 No. of workshop 5000.00 33 1.65 Total for B.8.1 (PRIs) 1901 1149.67 State Level B.15.1.1 5173100.00 51.73 For District B.15.1.2 No.of Workshop 12,900.00 3 1.68 Block Level B.15.1.3 6500.00 79 5.13 Others :- District Level - Reconstitution cost of VHSNCs B.15.1.4.1 No. of VHSNC 500.00 17638 88.19 Total for CAH 5193000 17720 146.73 Total for B.8 PRIs and B.15.1 CAH 1296.40

State Level :- The State will have a Community Process Cell to take care of ASHA and CAH. Nodal Officer - ASHA & Community Process-Full Time Government Officer Team Leader- Senior person with Experience in Community mobilization & NGO involvement Programme Managaer -CAH Programme Manager-ASHA Deputy Programme Manager-ASHA/CAH Documentation & Communication Officer Programme Assistant Finance Assistant Office Attendant Note:- Regarding above structure, now Team Leader ,Programme Manager CAH, Documentation & Communication Officer, Finance Asst. & Office Attendant posts are vacant. ASHA Resource Cell separately works not as a Community Process Cell. State has been planned to merged ASHA Resource Cell as a Community Process Cell with existing other staff or filled new posts for Community Process Cell.

District Level Each district will have A Community Process cum NGO Cell. Each Cell will have following Staff District Community Mobilizer & Data Assistant. The Cell will manage the data and finances related to ASHA, ASHA Facilitator, GSS, RKS and NGOs. To roll out large scale training of ASHA, ASHA Facilitator, RKS, PRIs and GSS NGO will engaged. District Nodal Officer-RCHO District Community Mobilizer & NGO Coordinator District Data Assistant Note:- In Gujarat District Programme Coordinator (DPC) will be work as a District Community Mobilizer ,Data Asst. (ARC) is already existing.

Taluka Nodal Officer-THO Taluka Community Mobilizer (THO) Taluka Level Each taluka will have a cell. The Staffing will be One Taluka Community Mobilizer. They will have to manage the data of ASHA, ASHA Facilitator, and Field NGOs. Taluka Nodal Officer-THO Taluka Community Mobilizer (THO) Field NGOs ASHA Facilitator Note:- In Gujarat, Taluka Health Officer (THO) will be work as a Taluka Nodal Officer and Taluka Community Mobilizer.

Sector level/Panchayat level Village level, Convergence with stakeholders esp.. PRIs, ICDS etc. State/District/Block Level:- Co-ordination with WCD (ICDS), Education,Water and Sanitation Department, Institute of public health and NGO Partners. Sector/Panchayat/Village Level :- With Self Help Group (SHGs),Water Committee under WASMO, RKS/VHSNC’s PRIs Members.

Thanks