1. SEWA Rural

2. About SEWA Rural 100 bed Hospital, including FRU (3,000 deliveries every year) Vocational training center (ITI) Women empowerment program, Eye care (5,500 eye operations every year) Community Health (mHealth project, Gram Sanjeevani Samiti) Project area: Jhagadia block (87 samitis and 200,000 tribal population)

3. Objectives Enhance understanding of CAH Develop plan of operationalising CAH in state in context of public hearing

4. Case study of CAH

6. Why this community acted? (Obj-1) Household level factors ASHA Community cohesion Service provider factors Role of technology

7. Outputs towards public dialogue 2 VHSNC sammellans (2010, 2011) 1 Jan Samvad (2011)

8. Results Department No. of issues presented No. of issues resolved (April, 2013) No. of issues getting resolved (April, 2013) No progress so far Water supply6231 Irrigation3021 Block development 1001 Education1001 ICDS4103 Road & building295321 State Road Transportation 5131 Health6006 GEB131210 Total68101345

9. What are some essential elements to arrange dialogue? (Obj-2) Ready and field tested road-map Cooperation from local government SR’s 3 decades of track record of working with government and local community

10. Things we could not do… Could not arrange more Jan samvads Engaging local govt and community on sustained basis was difficult Creating “ownership” of the VHSNC

11. THANKS