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

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

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

4. 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.

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

6. 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 . -

7. 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
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
Not yet released(State Treasury)
Plans for scaling up in FY
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. -

8. 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) -

9. 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

10. 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

11. Thank You