1. 5 districts of West Bengal Child In Need Institute
Strengthening VHSNC through Community Health Care Management Initiative
(CHCMI) programme in
5 districts of West Bengal
Jalpaiguri
North Dinajpur
Malda
Child In Need Institute
Murshidabad
South 24 Pgs.

2. CHCMI Programme (2010-13) Objective Coverage
Coverage of primary immunization
Identification of left outs/drop outs
Promotion of personal hygiene
Supplementary feeding
Regular weighing and referral to AWC
South 24 Parganas
(Population covered: 71,80,000 out of Total population 81,61,961*)
Murshidabad
(Population covered: 44,30,000 out of total population 71,03,807*)
Malda (Population covered: 18,76,000 out of total Population 39,88,845*)
North Dinajpur
(Population covered: 11,50,000 out of total population 30,07,134*)
Jalpaiguri
(Population covered: 25,84,000 out of total Population 38,69,675*)
* Census 2011
Total Population covered in 5 districts :
1,72,20,000 out of 2,61,31,422

3. Strategies Preparatory Phase Training of staff (ToT)
District wise stock taking on VHSNC formation, UC collection, etc.
Preparation of training plan and module (for the grass root level)
Sensitisation phase
District, Block and GP sensitization
GUS orientation
Facilitation Phase
GUS formation (where ever not formed)
SHG selection (as per guideline)
Regularize convergence meetings & Health plan preparation
Utilisation Certificate collection ( )
Implementation Phase
Training & Handholding Support to SHGs in 3 phases
1st Phase (Baseline survey)
2nd Phase (Compilation & prioritization)
3rd phase ( Specific plan)
Supervision
Evaluation of performance of SHG/ GUS

4. Intervention & Progress
Time line
Activities performed
1st Year
5 District sensitization
72 Block Sensitisation
759 GP sensitization
8610 GUS orientation
Formation of Ad hoc committee where ever GUS was non functional
2nd Year
3 phased SHG training for 8610 SHGs
1st Phase (Baseline survey)
2nd Phase (Compilation & prioritization)
3rd phase ( Specific plan)
3rd Year
Sansad level sensitization
End line Assessment

5. Contribution of SHGs in CHCMI
SHGs coordinated with ASHA & AWW in identification of left out and drop out women for ANC-PNC, and children for immunization, SNP, Growth Monitoring & enrollment in AWC
SHGs as representing beneficiaries, acted as link person between service providers & community
Advocated for rights & entitlements of health as well as creates demand

6. Achievement
VHSNC formation
SHG selection and Capacity Building
Regularization of 4th Saturday meting
Regularization of 2nd Tuesday meeting
SHG payment
Fund Utilization & UC collection
Preparation of Micro Health Plan ( )

7. Nutrition Camp
Dist. Sensitization
SHG Para meeting
SHG Training
GUS Sensitization

8. Ensuring Child and Woman Friendly Community
PRI/ULB
Community
Service Provider
Government withdrawn the support of CINI for CHCMI Programme after 2013, but the learning of the programme enriched CINI to continue other programme with an objective to make a ‘Child and Woman Friendly Community’ by utilizing the same machinery (Self Help Groups) to scale-up ‘Community action for Health’.

9. Challenges In Many places VHSNCs were not formed
Faced prerequisite urgency to utilize untied fund at GUS
SHGs involved in the CHCMI since , required reorientation on content
Difficult to sensitise few key officials at various levels
Political disturbances at places disrupted fund flow and selection of suitable SHGs
Embargo during election (March-June’11) hindered work progress