Vhsnd

this is survey based ppt in rohtas district, chenari and sanjhauli bloks

1. Assessment of VHSND PRESENTED BY – ABHISHEK KUMAR DUBEY MBA(RM), G.B PANT SOCIAL SCIENCE INSTITUTE, ALLAHABAD, SESSION 2014- 16 UNIVERSITY OF ALLAHABAD

2. Introduction VHSND -Village Health Sanitation and Nutrition Day Organized once every month At the AWC in the Village Interfacing between the community and the health service The villagers can interact freely with the health personnel and obtain basic services and information Demonstration to Diarrhoea, Diabetes test, and Family planning

3. Who Participate to VHSND? ASHA ANM AWW PRI MEMBER SERVICE USER ASHA FACILITATOR CARE INDIA VILLAGE COMMUNITY

4. Services to be Provided in VHSND Immunisation Anti-natal care Post-natal care Prevent Infection Causes Counselling for Complementary feeding Counselling for family planning Supplementary Nutrition to Underweight children Health and Nutrition Education Sanitation and hygiene

5. Purpose of VHSND To reduce maternal death To reduce child death To reduce level of malnutrition To prevention of infection causes diseases

6. Action to be taken before of VHSND Visit households as per duellist and get to know all the families; Make list of prenatal, postnatal, infants who need immunization; Make a list of children who need care of malnutrition, and adolescents girls; Coordinate with the AWCs, ASHAs, AWWs, ANMs and the PRI members.

7. Important Determinants for Good Health- Adequate food (nutrition). Safe drinking water, sanitation Healthy living conditions and health lifestyle Access to batter health services Health Education.

8. ILL Health Is Related To Malnutrition; Unsafe water and lack of sanitation; Unhealthy habits alcohol/drug abuse; Unhealthy living conditions; Hard labour and difficult work conditions; Lack of access to health services; Lack of health education ;

9. Pregnant women immunization T.T-I, T.T-II, T.T Buster(if second pregnancy within three year & the beneficiary had taken two TT in previous pregnancy).

10. Child Immunization Just baby birth BCG( after birth or before one year), Polio -0( in between o-15 days after birth), Hepatitis B ( under 24 hours after birth) On 1 1/2 Month Pentavalent -I, tOPV -I On 2 1/2 Month Pentavalent -II, tOPV -II On 3 1/2 Month Pentavalent -III, tOPV –III, IPV-I On 9 Month Measles-I and vitamins A (JE-I if implemented in District) On 16 to 24 Month DPT buster , OPV buster, Measles-II Vitamins A (JE-II if implemented in District) D.P.T buster (on 5 to 6 year), T.T buster(on 10 to 16 year)

11. statement of study I abstract the work with Care India and my topic is--- “ANALYZING THE GAP ASSESSMENT OF VHSND OF PILOT INTERENTION PROJECT” The study on effectiveness of VHSND at two blocks Sanjhouli and Chenari of Rohtas distric.

12. Objective of the study To identify the update of Comprehensive due list and survey register; To identify the counselling on family Planning at session site; To identify the demonstration of Complementary feeding by AWW at session site; To identify the four key massage related to immunization; To identify the demonstration of Diarrhoea doll for counselling on management of childhood diarrhoea;

13. Methodology Random Sampling method Data Collecting Qualitative data Quantitative data Interview method Open ended questionnaire ( questionnairs.docx ) Close ended questionnaire ( vhsnd qes.docx )

14. Observation, finding of AWCs, VHSNDs site and Household visit Total selected AWCs, VHSNDs site and House hold visit Name of Blocks Total Observed AWC Total Covered VHSND Session site Total House hold visit Total Convey with people Chenari 15 6 15 40 Sanjhouli 20 6 20 45 Others 8 2 20 60

15. 1. Assessment of Update of Comprehensive Due list and Survey register Name of due list, and survey register holder Update Before start pilot project Update After start pilot project ASHAs Total Update Total update 40 15 40 35 AWWs(Record data) 35 10 35 20 ANMs(MCH) 15 10 15 13 Above Take All Source Data From BM of Care India

16. Assessment of update of comprehensive due list and survey register Source – Pre collected data through BM, and site observation by me.

17. 2. Assessment of the counselling on family Planning at session site; Name of Demonstration to Family pl..... Demonstration Before pilot project,..,,,,,,,,, Demonstration After pilot project ..,,,,,,, AWWs Total Demon. Total Demon. 35 20 35 10 ASHAs 40 15 40 30 ANMs 15 10 15 14

18. 3. Assessment of the demonstration of Complementary feeding by AWW at session site; Name of Demonstration Demonstration Before pilot project,..,,,,,,,,, Demonstration After pilot project ..,,,,,,, AWWs Total Demon. Total Demon. 40 15 40 30 ASHAs 50 10 50 30 ANMs 15 8 15 12

19. 4. Assessment of the four key massage related to immunization Suggests four key massage Demonstration Before pilot project,..,,,,,,,,, Demonstration After pilot project ..,,,,,,, Total Delivered Total Delivered ANMs 15 8 15 12 ASHAs 40 20 40 30

20. 5. Assessment of the demonstration of Diarrhoea doll for counselling on management of childhood diarrhoea Name of Demonstration of Diarrhoea doll Demonstration Before pilot project,..,,,,,,,,, Demonstration After pilot project ..,,,,,,, AWWs Total Demon. Total Demon. 35 10 35 25 ASHAs 40 15 40 30 ANMs 15 5 15 12

21. Others finding ASHAs they were not proper mobilized all beneficiaries to come for VHSND session site; AWW they also less effort VHSND session site; No body delivered message of Sanitation and Hygiene No proper guide Hand Wash system; No one proper guide safe drinking water; Very some members demonstrate the Diarrhoea ; Very some members delivered message for Adolescent girls to Health related issue;

22. “ In Big effort they can not stop open defecation system ” Open Defecation

23. Outcome 85 per cent coverage with preventive and promotive interventions, especially for pregnant women and children ; Increased awareness about the determinants of health such as nutrition, sanitation, timely care etc. Improved knowledge about the services offered under the various Nutritional Health programmes. Greater emphasis on the community’s role in making the health system improvement in rural area.

24. Suggestion and Recommendation Provide proper training for ASHAs, ANMs, and AWWs; Mobilize the village community through create the Self Help Group(SHG) or other activity; Provide also training for External Field Facilitators; Organizing group discussions on maternal deaths(MDR) Child Death(CDR), in order to identify and analyse the possible causes. Strong Provision of supplementary food for grades of mild malnutrition and referral for cases of severe malnutrition and refer to NRC. Proper decentralize work top to bottom of the employee; Use Motivation X and Y theory for employee;

25. Continue------- sterilization and insurance scheme for family planning ; Mobilization of community action for safe disposal of household refuse and garbage. Communication on the Prevention of Violence against Women, Domestic Violence Act, 2006. Home remedies for common ailments based on certain common herbs and medicinal plants like tulsi found in the locality. Healthy food habits. Hygienic and correct cooking practices. Checking for anaemia, especially in adolescent girls and pregnant women; checking, advising, and referring.

26. Height and BP Measurement in VHSND Sites

27. VHSND Session Site Pic .

28. Reference, and bibliography Government Report; Care India Report; Care India BM, past data collection and Suggestion AWCs survey; Communication with ASHAs, ANMs, AWWs and village community; National Health Mission Website ...

29. Thank you