Community Action for Health

Community monitoring is an integral part of the community process under NRHM and efforts has to be made to educate and capacitate community member to assess, review and suggest recommendation in the implementation of health programmes, which will enhance participation of people in planning, implementing, monitoring and evaluation of public health programmes. Community monitoring is not a fault finding exercise but it is a tool to strengthening the existing system through mutual understanding and respect. Transparency is the base work in community monitoring.
As any other state, Meghalaya has taken up 3 pilot Districts viz Jaintia Hills, East Khasi Hills and West Garo Hills for implementation of Community Monitoring activities. In each district 3 blocks has been identified giving a total of 9 blocks and in each block 3 PHC has been identified covering a total of 27 PHCs. Also in each PHC areas 5/7 revenue villages has been identified.

Objectives

  • To build the capacity of community members to participate and monitor health programme and health institution.
  • To form committee for community monitoring at various levels who will conduct social audit of health institutions every month.
  • To review the process and publication of finding as public report.

Strategies

Training and capacity building of community groups and committee will be undertaken by NGOs and the civil societies. Materials and modules of training along with assessment formats and report cards will be printed and provided to the community groups. Capacity building will be done on holding public hearing, public dialogue and assessment of health services.

Committee for community monitoring will be formed with the help of the nodal NGOs incorporating, civil societies, legislative members of local government/durbars, RKS members, public representatives, etc. the committee will be capacitated to hold social audit and hold public hearings and initiate testimonies and document adverse outcome.
Committee for community monitoring will prepare public document for bases of review, audit and public hearing along with the nodal agency and will publish the same for public as well as suggest modification for government health authorities.

People Involved – Meghalaya

STATE LEVEL:
State Advisory Group On Community Action (SAGCA)
The Advisory Group on Community Action (AGCA) is a standing group under National Rural Health Mission mandated to spearhead the community related initiatives under NRHM. The group comprises of eminent public health professionals associated with major NGOs and meets regularly to handhold activities relating to community action.

SAGCA Members :
At present the State has constituted a STATE ADVISORY GROUP ON COMMUNITY ACTION (Meghalaya) to facilitate the entire process of Community Monitoring, with the following members:

1. Mission Director , NRHM Meghalaya Chairman
2. Director of Health Services (MCH&FW)
Cum Joint Director Shillong NRHM
Member Secretary
3. Director of Health Services (MI)
Shillong
Member
4. Director
Directorate of Elementary & Mass Education
Shillong
Member
5. Program Officer
Social Welfare Department
Shillong
Member
6. Dr. A.K.Nongkynrih
Reader
Department of Sociology, NEHU, Shillong
Member
7. Mrs. N. West Kharkongor
Faculty IIM
Shillong.
Member
8. Mr. A. S. Nongbri
State Programme Manager
NRHM
Shillong.
Member
9. Dr. S. Kharkongor
Training Co-ordinator
NRHM
Shillong.
Member
10. Dr. Lalrintluangi
RCH Consultant
NRHM
Shillong.
Member
11. Mrs. A. Suchiang
State ASHA Program Manager
NRHM
Shillong.
Member
12. State Community Process Coordinator
NRHM
Shillong.
Member
13. Mrs. Dakaru Passah
State Program Executive
Community Monitoring
NRHM
Shillong.
Member
14. Sr. Isabel
Health Programme Manager
Bakdil Sipsed
Tura.
Member
15. Dr. Mousmi Gogoi
Coordinator
Karuna Trust.
Member

STATE MENTORING TEAM

State Mentoring Team at the State level has been formed to mentor the whole process of Community Monitoring.

1.

The Director of Health Services (MCH&FW), Shillong

Chairman

2.

The Joint Director of Health Services (MCH&FW), Shillong

Member Secretary

3.

The Deputy Director of Health Services (MCH&FW), Shillong

Member

4.

The State Programme Manager, NRHM, Shillong

Member

5.

The State Facilitator, NRHM, RRC, Shillong

Member

6.

The Public Health Consultant, NRHM, RRC, Shillong

Member

7.

The State ASHA Program Manager, NRHM, Shillong

Member

8.

The State Program Executive, Community Monitoring, NRHM, Shillong

Member

9.

The State Community Process Coordinator, NRHM, Shillong

Member

10.

The Programme Assistant, Community Monitoring, NRHM, Shillong

Member

11.

The Monitoring and Evaluation Officer, NRHM, Shillong

Member

12.

The NGO Coordinator, NRHM, Shillong

Member

13.

The Communication Officer, NRHM, Shillong

Member

14.

The IEC Consultant, NRHM, Shillong

Member

15.

The Executive Secretary, Voluntary Health Association of Meghalaya (VHAM) Shillong

Member

STATE NODAL NGO
A STATE NODAL NGO has been identified to implement the entire process of community monitoring at the Districts, Blocks, PHCs and at the Village levels. Voluntary Health Association of Meghalaya (VHAM)
Smti. Eudora Warjri
Executive Secretary
Nongrim Hills
Shillong
Phone No: 9436110924
Email: Vhamegh2rediffmail.com

DISTRICT LEVEL: At each district ie East Khasi Hills District, Jaintia Hills District and West Garo Hills District we have the following Officials/Committees/NGO’s:

  1. District Nodal Officer incharge on Community Monitoring.
  2. District Monitoring & Planning Committee Cum District Mentoring Team.
  3. District cum Block Nodal NGO.
District District Cum Block Nodal NGO Block
East Khasi Hills District Grassroot Shella Bholaganj Laitkroh Mawryngkneng
Jaintia Hills District Mih-Myntdu Socio Cultural Welfare Association (MSCWA) Laskein Khliehriat Thadlaskein
West Garo Hills District Socio Economic Welfare Society Dadengiri Selsella Dalu

Geographical Spread

Photo Gallery

PROCESSES - Meghalaya

1. Meeting of the State Advisory Group on Community Monitoring of Health Services under NRHM (2011-12)

2. Meeting of the State Advisory Group on Community Monitoring with the State Nodal NGO (VHAM)

3. A State Level Workshop for all Statekeholders of Community Monitoring has been conducted

4. Training of Trainers (TOT) Programme for District Nodal NGOs by the State Nodal NGO has been completed

5. Minutes of the State Advisory Group on Community Action Meeting (Community Monitoring) under NRHM (2013-14)

6. Minutes of the State Level Review Meeting cum Workshop on CAH and Report on State Level TOT for the CAH District Trainers April 2015