Sahiyya Movement – An empowering Process January 21, 2006 Ministry of Health, Family Welfare, Medical Education and Research Government of Jharkhand

VISION: Healthy Jharkhand & Happy Jharkhand

MISSION: “To Provide Quality Health Care services to the last person in the Last Household of the Last Village”

Strategies for realizing our Vision Strategies: Community Participation (involvement + Ownership) System Strengthening, Reorganization and reconstruction of the existing infrastructure Convergence : Intra & Inter- Department Convergence Promoting active Public-private partnership Promoting integration of the Indian System of Medicines (AYUSH) to provide choice to the people under one roof. Emphasis on the effective Capacity Building Effective Behavior Change Communication Effective HR placement and their utilization

Community Participation: An empowered Institution Building Process Organizing Village Health Committee as an Organization in the Village Group Organization and Leadership Development to address the Health issues in the village Taking problem solving community action around Health issues Mobilization & Management of Community resources as “Village Health Fund” Government to provide the matching to the Community contribution Action on keeping People in the Centre of Health Programme.

Community Participation: An empowered Institution Building Process (Contd.) Focus on the Women and Children and marginalized section of Community. Reaching to un-reach area and communities. Empowered community can analyze the cause and effect of the Poor Health issues and identify the Health Issues of Village Based on the causal analysis realistic Micro operational plan with strong community based monitoring system Sahiyya, AWW and ANM are accountable to the community

Sahiyya – an empowering process A Key Village Health Volunteer – a woman (of reproductive age) of village Selected by the Village Health Committee No Honorarium by Government, Community will pay to sahiyya in cash or in kind A link between the community and Service providers A facilitator for convergence between ICDS-AWW & Health worker -ANM A promoter of the Inter-personal-communication on health issues A facilitator for community based monitoring system

Sahiyya – an empowering process (Contd.) Village Drug Depot Holder Trained in the Preventive & Promotive Primary Health Care A facilitator for integrated mother and child health care (ANC, Institutional delivery and Routine immunization) A family health communicator with the Eligible married Couple in the village. A First Aid Provider in the community An agent for the Institutional referral and also follow up for the completion of the treatment

Road map Strengthening of the Sahiyya working Group Involvement of other departments like : Social Welfare, PHED and Education Involvement of NGOs for implementation Development of Sahiyya Guideline Development of Field tested Training materials for the facilitators and Sahiyya by Sahiyya working Group Development of Communication aid - Materials for Sahiyya Orientation to the District & Block Health Service Providers

NGO Partners for Sahiyya (as of Jan. ‘06) Sl. No. Name Of NGONo. of Blocks Name of District 1Krishi Gram Vikash Kendra 05Ranchi 2Nav Bharat Jagriti Kendra 05Hazaribagh 3R.K. S. Mission04Hazaribagh 4Badlao Foundation05Jamtara 5Samekit jan Vikas Kendra 05Sariekela Kharswan 6Tata steel Rural Development Society 05Singhbhum (east) 7Vikas Bharati05Gumla

Progress in – Sahiyya movement Around 1000 Village health committees have been formed and same number of sahiyya have been identified. We may reach to 5,000 selected and first phase trained Sahiyyas by March, lead NGOs (TSRDS, KGVK, Vikas Bharati, RKS Mission, Badlao foundation, NBJK, SJVK) have been finalized and they are working in 34 blocks for formation of VHCs and sahiyaa Convergence amongst Health, Social welfare, PHED, education and rural development departments.

An empowered health programme by empowered community – a Sahiyya Movement Thank you