1. Strengthening Community Participation in Health
State Health Resource Centre, Chhattisgarh

2. Community Action for Health
Constitution & Composition of State AGCA/SMG
GB of SHRC plays the role of SMG
GB members- Govt. officials and public health experts
Frequency of the state AGCA/SMG meetings during FY
One meeting during the year
Scale of the implementation of CAH-districts, blocks, panchayats, VHSNCs
In all 27 districts of 146 blocks of 9871 panchayats, VHSNCs.

3. Institutional mechanism for implementation of the CAH
Implemented through Community processes support structure
Level
Unit
Total
State level
1 Senior Programme Coordinator
8 Programme Coordinators
3 Programme Associates
12 Members Team
District level
1 District Coordinator on average 4 blocks
Total 35
Block level
2 block Coordinators + 1 Swasth Panchayat Samanvyak
450
Cluster level
1 ASHA Facilitator per 20 ASHA
3150
Hamlet level
1 ASHA per habitation
66220

4. Approach to key processes under CAH:
Monthly VHSNC meeting at Village level- Monthly planning- identification of issues and attempt to resolve
Monthly VHSNC cluster meeting- Composition of VHSNC- Awareness generations on entitlements.
Yearly Block level Jan samvad- Putting of unresolved and larger issues before PR and GO.
District level- Swasth Panchayat Award- On the basis of data of village health monitoring register, GPs are ranked and top 3 GPs of each block is awarded.
Dissemination workshop at State level- Reporting sharing with Govt. and planning for planning for further action.
VHSNC is the main platform of

5. Public Dialogue (Jan Samvad)
Year , Public dialogue event organised in 140 blocks out of total 146 blocks.
Around 1,12,000 people participated in the events
45,000 applications submitted to PR and GO
3 MPs, 35 MLAs, 47 Jilapanchayat President, 123 Janpad President, 1749 Sarpanchs, 7 collectors, 470 Govt. officials attend Public dialogue events.
During , so-far around 80 Jan-samvad have been organised

6. Kind of Health issues raised during Jan samvad
108/102- Issues raised by 121 Blocks
Unavailability of Anti venom injection- 60 blocks
Unavailability of Anti rabies- 63 blocks
Corruption-98 Blocks
Family planning- 93 Blocks
Drugs are purchased from outside- 113 Blocks
RSBY Card- 87 Blocks
Refer to private hospital- 82 Blocks

7. Kind of Health issues raised during Jan samvad
Behaviour of staff- 79 Blocks
Sonography- 79 Blocks
In-adequate staff- 63 Blocks
JSY incentive- 57 Blocks
ASHA incentive- 56 Blocks
Immunization- 48 Blocks
Timing of OPD- 13 Blocks
Demand for SHC- 18 Blocks

8. Community Action for Health Report-
Compilation of Village Health Monitoring Registers
Compilation of Death report
Collection of Community Feedback on Health Services (Interview of Mitanin, Mother and PRI for SHC and PHC)
Exit Interviews of patients from CHCs and District Hospitals (OPD & IPD)
Report on Jan Samwad (Public dialogue) events

9. CM Dr.Raman Singh is giving Award to Sarpanch at Raigarh District

10. Collector giving Award to Sarpanch at Bastar District

11. Collector giving Award to Sarpanch at Bemetara District

12. Award for Sukma District

13. Public Dialogue (Jan Samwad)

18. Case Study/ Success stories
Each month around 200 case studies and 200 success stories are received.
Success stories are documented in ASHA News letter.
Case studies are Compiled and shared with Department in quarterly basis.

19. Sadasya jo abhiyan- A campaign to add more members to VHSNC
What is new in VHSNC
Sadasya jo abhiyan- A campaign to add more members to VHSNC
Nigrani Sadasya- Per VHSNC 2 members to physically monitor Govt. scheme and report during VHSNC meeting.
Action oriented VHSNC- Visiting the problematic organization and resolve issue on same day
Water testing- Use of H2S kit to test the drinking water sources and reporting to dept of the contaminated sources.
New in Jansamvad-
Role play/ Skit presentation to sensitize the departments.
Welcoming guest by giving plants

20. Challenges
Governmentisation Vs. Communitisation- CAH, ASHA, Support structure.
In-adequate funds for CAH activities

21. Thanks
Health For All 21