1. Community Participation in Health Care Nagaland
Regional Consultation on ‘Community Action For Health’
24th – 25th January 2017,Guwahati

2. Status of VHSNC: No. District No. of Villages 1 Kohima 94 2 Mokokchung
102 3
Tuensang
121 4
Phek
104 5
Mon
110 6
Wokha
130 7
Zunheboto
198 8
Dimapur
216 9
Peren
106 10
Kiphire
103 11
Longleng 40
1324

3. As of now, in Nagaland, community monitoring and action for health is done through the VHSNCs.
Approval has been given in the ROP for implementation of CAH as per the guidelines in 1 district i.e. Mokokchung as pilot. However,
due to time constraints, it is still yet to be initiated.
No State Trainers.
Training of VHSNCs has been approved in the RoP ToT for District Trainers and block level trainings of VHSNC members will be conducted during Feb-March 2017.
Printing of VHSNC training manuals completed.

4. To promote ownership and community participation, the State has the following structure in place
At village level:
a. Village Health Committee
b. Common Health Sub-centre Committee
ii. At CHC/ PHC level Health Centre Managing Committee was constituted with representatives of VHCs and Village Councils of all constituent villages and towns falling within the respective CHC/ PHC areas.

5. Nagaland Health Project Introduction
Nagaland Health Project is supported by World Bank and implemented by Department of Health and Family Welfare, Government of Nagaland.
The Project envisions to improve the health system service delivery by investing in multiple areas.
Important objectives:
Stengthening the community involvement in improving access to health care,Improving health and nutrition outcomes.
Other areas include: Water sanitation, solar energy, supply chain management, capacity building etc.

6. Target Indicators
At least 3 awareness Campaigns on health, nutrition, sanitation or related issues in the last six months
ASHA should have all of the drugs & equipment from a specific list of basic equipment and this equipment should be functioning and drugs should not be expired.
All monthly VHNDs held with presence of ASHA and AWW plus growth monitoring happens (composite)
Those children born in the village last six months have their birth registered.
For those women who gave birth in the village (home + institutional delivery) in the last six months:
Had got their pregnancy registered and had received a MCP card when they were pregnant .
Had received at least 3 ANC check ups from any provider when they were pregnant
Have received their JSY benefits
Those children who were delivered at home in the last six months have been weighed during a visit from the ASHA in the first 24 hours

7. Target achieved: Comparison of baseline and post intervention at pre-pilot villages.
Target Indicators
Baseline
Target achieved
awareness Campaigns on health, nutrition, sanitation or related issues in the last six months
100% (3)
ASHAs have all of the drugs & equipment from a specific list of basic equipment (Paracetamol. ORS, Condom, Weighing Scale, Thermometer, Blanket) 3
100% (6)
monthly VHNDs held with presence of ASHA
and AWW plus growth monitoring happens
(composite)
108% (12)
children born in the village in the last six months
have their birth registered. 1
24%(6/24)
pregnancy registered and had received an MCP card
when they were pregnant . 9
97.5% (23/24)
received at least 3 ANC check ups from any provider when they were pregnant. 5
58% (14/24)
Have received their JSY benefits
0% (24)
children who were delivered at home in the last six months have been weighed during a visit from the ASHA in the first 24 hours.
33.33%(2/6)

8. Thank You