Community based monitoring as an accountability tool and related trends of change and improvements in the rural health services in the state of Maharashtra.-Dhananjay Kakade
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Community based monitoring of health services in rural Maharashtra involves regular information collection in villages to track public health services. Village committees provide feedback to higher committees at the primary health center, block, district, and state levels. The process aims to develop community ownership over health services. Key monitoring processes include using booklets, health calendars, interviews, and medicine stock checks. Report cards are filled and displayed. Objective impacts found include stopping illegal charges, improved immunization coverage, and increased health center utilization. Overall, community based monitoring has contributed to significant improvements in rural health services.
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Community based monitoring in ICDS involves periodic follow up of programme implementation by community members to check coverage, quality of services, and address community needs. It increases accountability, generates information through community involvement, and strengthens local decision making and community capacity. Monitoring is done by Bal Vikas Mahila Samitis at village, block and district levels, involving elected representatives, officials, and community leaders. Areas monitored include functioning of anganwadis, supplementary nutrition, health services, and community participation. Review committees have also been constituted at national, state, district, block and anganwadi levels to oversee monitoring.
MIS Project for Organization
This document discusses various information systems used for management purposes. It begins by defining management information as timely, accurate data that helps managers make decisions. It then describes management information systems (MIS) as studying the relationship between people, technology, organizations. MIS helps with business operations like sales and evaluations. The document outlines different types of information systems like transaction processing, decision support, and executive support systems. It also discusses the input, processing, output, and feedback stages of information flow and decision making. Some proposed improvements to information sharing discussed are enterprise resource planning (ERP), business intelligence (BI), radio frequency identification (RFID), and vendor managed inventory (VMI).
Development and implementation of a community based monitoring and evaluation...
Presented by Harrison Rware, Pamela Pali, Titus Karanja, Carlos Quiros, Jane Poole, John Parkins and Shayo Deogratias at the Workshop on Integrated Dairy Goat and Root Crop Production, ILRI Nairobi, 19 June 2013
16. MIS for Project Monitoring and Evaluation
This document discusses how a management information system (MIS) can be used for project monitoring and evaluation (M&E). It describes how the MIS allows for:
1) Efficient data collection through mobile devices to track activities, evaluations, technology adoption, and fund utilization.
2) Real-time monitoring and analysis of project indicators and logframes for management and evaluation.
3) Visualization of project data and progress reports through maps and charts.
4) Future integration with other systems and flexibility to develop additional modules over time.
MIS: Project Management Systems
A project is a temporary endeavor undertaken to create a unique product, service or result. Projects can vary in size and duration. The Denver International Airport project faced challenges including changing requirements, cost overruns, delays and technical issues that led to it being over budget and behind schedule. Successful project management requires balancing scope, time and cost, and relies on skills such as leadership, communication and problem solving. The Project Management Institute provides standards and certifications to disseminate best practices. Project managers must coordinate teams and resources to deliver projects successfully.
CONDITION BASED MONITORING PRESENTATION
Condition-based monitoring (CBM) was implemented at Barnes Reinforcing Industries (BRI) to address frequent machine breakdowns caused by mechanical faults. Engineering trainees used tools like infrared thermometers, vibration analyzers, and thermography cameras to monitor temperatures and vibrations of rotating and heating equipment. Their analysis found bearings were a major cause of breakdowns due to overheating, fatigue, and misalignment. CBM helped identify failing components, extend machine life, and reduce maintenance costs for BRI by focusing repairs on detected faults.
CBMS as a tool for promoting equity, PEP-Asia CBMS Network (Philippines).
Community-Based Monitoring System (CBMS) as a tool for Promoting Equity.
Mr. Joel Bancolita, Senior Research Associate.
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Community Based Monitoring in India: A Tale of Two Rivers
Community Based Monitoring in India: A Tale of Two Rivers
Development and implementation of a community based monitoring and evaluation...
Development and implementation of a community based monitoring and evaluation...
CBMS as a tool for promoting equity, PEP-Asia CBMS Network (Philippines).
CBMS as a tool for promoting equity, PEP-Asia CBMS Network (Philippines).
Similar to Community based monitoring as an accountability tool and related trends of change and improvements in the rural health services in the state of Maharashtra.-Dhananjay Kakade
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Impact of functional VHSCs on maternal health and the delivery of antenatal a...
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1.0 Overview of implementation of CPHC.pptx
1) The document discusses the implementation of comprehensive primary health care through Ayushman Bharat Health and Wellness Centers (AB-HWCs), which aim to shift primary care from selective to comprehensive and from illness to wellness.
2) Key elements of transforming Sub Centers/PHCs/UPHCs to AB-HWCs include an expanded package of services, human resources, capacity building, essential drugs and diagnostics, use of technology, and community involvement through Jan Arogya Samitis.
3) Grants through the 15th Finance Commission and PM-ABHIM are being used to strengthen infrastructure, human resources, and other gaps at primary, secondary and tertiary care levels through various
Health System Assessment JRC 2011
The document provides a health system assessment report for Jur River County in Western Bahr El Ghazal State, Southern Sudan. It finds that primary health care units are relatively well staffed compared to the only primary health care center assessed. It also finds that maternal health workers are traditionally birth attendants with experience. Most health facilities lack usable pit latrines. While all facilities provide outpatient services, only one provides inpatient care. On average 6,442 consultations occur monthly in the county. Supervision of facilities is infrequent. Protocols are inconsistently available across facilities. Most facilities rely on government supplies and previously benefited from a performance-based financing mechanism. Many lacked essential medicines during the assessment. The report concludes key interventions
Jan_Aarogya_Samiti_Web_Compressed.pdf
This document provides guidelines for Jan Arogya Samitis (JAS), committees formed at the Sub Health Centre (SHC) and Primary Health Centre (PHC) level Health and Wellness Centres under Ayushman Bharat. The objectives of JAS are to support community participation in healthcare management and governance, support health promotion activities, act as a grievance redressal platform, and coordinate use of untied funds. The composition and roles of JAS-SHC and JAS-PHC are outlined. Key roles include facilitating quality service delivery, leading health promotion efforts, and supporting social accountability activities. Performance standards like IPHS, NQAS and Kayakalp are referenced to help J
Impact of voucher system on access to maternal and child health services in E...
John Bua of Makerere University presents on a voucher scheme in Eastern Uganda to transport pregnant women to the care facility at iHEA 2011 in Toronto, Canada.
Mp 1
The document provides demographic and health statistics for Madhya Pradesh, India. It notes that MP's GDP growth is 4.89% and the average monthly per capita expenditure on food. It also shares demography projections for 2016 and demography from 2009. The document discusses health budget trends, noting health budget as a percentage of total budget. It outlines social insurance programs and expenditures. The document discusses public and private health expenditures and health budgets for 2008-09 and 2009-10. It identifies challenges like high MMR, IMR and proposes strategies like public-private partnerships to address issues.
swasthya2014
The document summarizes a proposal by Team SWASTHYA from IIT Roorkee to improve access to quality primary healthcare in India. It outlines current issues with India's healthcare system such as inadequate resources, misallocation of funds, and an emphasis on urban vs rural services. The team's model leverages existing schemes like RSBY and NRHM and involves a medical helpline, registered dispensaries, and ambulance services to provide affordable primary care using doctors, ANMs, and ASHOs. The goal is to ensure universal healthcare access while keeping additional costs low by improving current programs and infrastructure.
The Role of Telebehavioral Health Services in an Integrated Behavioral and Pr...
The Role of Telebehavioral Health Services in an Integrated Behavioral and Pr...Mid-Atlantic Telehealth Resource Center
Presentation by Marcy Rosenbaum, LCSW, CSAC, Behavioral Health Consultant, Southwest Virginia Community Healthcare SystemsEvidence of Social Accountability_Geraldine McCrossan_5.7.14
This document summarizes a global health practitioners meeting focused on community-based approaches to health. It describes the ACT Health model being piloted in Uganda which aims to increase accountability and responsiveness through community feedback. Households provided input on local health services which informed action plans developed with health facilities. Stories documenting impact were collected, such as improved supervision leading to better quality care. The model is now being scaled up across Uganda through partnerships to further assess its ability to strengthen health systems and drive health seeking behavior.
Innovation in informal health markets in Bangladesh
Village doctors are the dominant healthcare providers in rural Bangladesh, making up 96% of informal providers. While village doctors are popular due to their availability and low costs, the quality of their services is questionable. The government is working with village doctors through training programs and accountability groups to improve quality and link the informal system to the formal healthcare sector, in order to address the shortage of trained physicians and ensure care for rural communities.
Community Health Strategy Implementation Guide 2007
This is the community Health Implementation guideline for CHS Kenya. Community Health Services Kenya is the body mandated to offer quality health services to Kenyans at community level. This guideline outlines how the strategy is implemented to ensure that each Kenyan has access to quality health services
For More Information Visit http://chs.health.go.ke
INHIBITING FACTORS AND SUPPORTING FACTORS IN THE IMPLEMENTATION OF FINANCIAL ...
ABSTRACT: This study aims to describe and analyze the supporting factors and inhibiting factors for the
implementation of BLUD financial management policies at Poso Hospital and the implementation model of
BLUD financial management policies at Poso Hospitals. In implementing the vision and mission, it was found
that in improving the quality of health services through the provision of medical personnel (specialist doctors,
special nurses) by building cooperation with universities. Provision of infrastructure for. Improving the welfare
of Poso Hospital employees. However, several problems were found in the form of improving employee welfare
in the form of medical services that do not yet have standard rules in the governance process so that they are
prone to irregularities. In addition, the Poso Hospital infrastructure, especially the availability of rooms and
some medical equipment, is still limited so that patients affect community services.
One of the supporting factors is the availability of the Poso Regional Hospital Development Location and the
availability of pediatric surgeons that are not owned by other hospitals in the Central Sulawesi region. The
inhibiting factor that makes it difficult to implement the BLUD RSUD Poso policy is the weakness of the
budget supervisor, which is proven by the corruption of Medical Devices in the 2013 fiscal year. In addition, the
evaluation of the local government towards the officials managing the BLUD RSUD Poso is very weak, even
especially in the quality assurance of health service activities.
Adjusting the need for medical medical devices that support the implementation of health services so as to
maximize human resources with health infrastructure. Evaluation of service performance (medical personnel)
and officials managing the Poso Regional Hospital on a regular basis so that from the results of the evaluation
by the local government action can be taken to determine budget needs and service quality
KEYWORDS: policy, management, supporters, barriers, hospital
ayushmann bharat by Government of India under Modi government
The document discusses Ayushman Bharat - Health and Wellness Centres (AB-HWCs) and provides information on:
1. AB-HWCs aim to provide comprehensive primary healthcare through an integrated approach and move towards universal health coverage.
2. Key issues discussed include assigning populations to AB-HWCs, strengthening infrastructure, addressing human resource gaps, expanding services, and financial planning.
3. States are encouraged to develop a vision document by December 2019 to comprehensively plan AB-HWC implementation.
Essential SERVICES Learning event1
This document summarizes community outreach efforts to improve maternal health in six Indian states. It describes engaging community leaders, self-help groups, and youth clubs to gain support and enhance skills in developing village health plans. It also discusses working with local governments, frontline health workers, and other departments. Training targets pregnant and lactating women on issues like antenatal care, immunizations, postnatal care, health, sanitation, and government schemes. Community programs and trainings aim to empower groups and increase utilization of untied village funds and services. However, challenges remain in fully implementing food entitlement and public distribution systems, and improving conditions at government health facilities.
Community Health Officer CHO An Overview
A new group of healthcare professionals who are not doctors are called community health officers CHOs . As a part of Comprehensive Primary Health Care, CHOs will be vital in providing an increased range of essential services. They are expected to direct the primary care staff at the Sub Centre, Health and Wellness Center, offer ambulatory care and clinical management to the neighborhood, and act as a crucial coordination link to guarantee the continuum of car. Mr. Saneesh CM | Dr. S. Victor Devasirvadam "Community Health Officer (CHO): An Overview" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-7 | Issue-1 , February 2023, URL: https://www.ijtsrd.com/papers/ijtsrd53840.pdf Paper URL: https://www.ijtsrd.com/medicine/nursing/53840/community-health-officer-cho-an-overview/mr-saneesh-cm
UtilizationofPrevenativeMedicalServices_Compliance_BerwynIllinois_LauraEMille...
This document summarizes a study analyzing reasons why residents of Berwyn Township, Illinois do not utilize preventative medical services. The study uses data from a 2011-2014 community health needs assessment survey of 441 township residents. The study finds that while most residents received checkups, 20.9% did not within the past year. Females and non-Hispanic residents were more likely to receive services. The most common reasons for not receiving services were feeling fine, inability to pay, and that services were unnecessary. The study aims to identify barriers to inform recommendations to increase preventative care utilization.
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Assessment of community utilization of chps services in komenda edina-eguafo...
This document summarizes a study that assessed community utilization of CHPS (Community-based Health Planning and Services) zones in the Komenda-Edina-Eguafo-Abrem Municipality in Ghana. The study found that about 59.4% of respondents said CHPS provided timely healthcare, but only 65.8% were satisfied with CHPS services. Major challenges included lack of drugs, poor staff attitudes, and lack of midwifery services. The study recommends improving drug availability and training more nurses in midwifery to address low utilization of CHPS zones.
The implementation of BPJS health program At public health center martapura i...
Improving the quality of health services at the primary level is very important to reduce the burden of services which will be covered hospital when the BPJS program applied. The aimed of this study is to describe the implementation of the program of BPJS in Public Health Center (PHC) Martapura. This study was a qualitative research with case study design. The informants are the head of PHC and manager program were taken by purposive sampling. Data were collected through interviews using in-depth interview guide. Result of this study was since the enactment BPJS January 1, 2014, Banjar Regency Health Office only once to disseminate ie in March 2014. This makes the health center to get the barriers in the field of the sustainability of the information obtained from the health department with the information captured on the official website BPJS. Another barriers was the disbursement claims that have not been implemented which should have been right to health centers for services provided. Support from the health department and BPJS needed to inform about the national health insurance program regularly to health centers so that health centers do not confusion in implementing the program.
Similar to Community based monitoring as an accountability tool and related trends of change and improvements in the rural health services in the state of Maharashtra.-Dhananjay Kakade (20)
Exploring perceptions and functioning of Rogi Kalyan Samiti in selected distr...
Exploring perceptions and functioning of Rogi Kalyan Samiti in selected distr...
Impact of functional VHSCs on maternal health and the delivery of antenatal a...
Impact of functional VHSCs on maternal health and the delivery of antenatal a...
Impact of voucher system on access to maternal and child health services in E...
Impact of voucher system on access to maternal and child health services in E...
The Role of Telebehavioral Health Services in an Integrated Behavioral and Pr...
The Role of Telebehavioral Health Services in an Integrated Behavioral and Pr...
Evidence of Social Accountability_Geraldine McCrossan_5.7.14
Evidence of Social Accountability_Geraldine McCrossan_5.7.14
Innovation in informal health markets in Bangladesh
Innovation in informal health markets in Bangladesh
Community Health Strategy Implementation Guide 2007
Community Health Strategy Implementation Guide 2007
INHIBITING FACTORS AND SUPPORTING FACTORS IN THE IMPLEMENTATION OF FINANCIAL ...
INHIBITING FACTORS AND SUPPORTING FACTORS IN THE IMPLEMENTATION OF FINANCIAL ...
ayushmann bharat by Government of India under Modi government
ayushmann bharat by Government of India under Modi government
UtilizationofPrevenativeMedicalServices_Compliance_BerwynIllinois_LauraEMille...
UtilizationofPrevenativeMedicalServices_Compliance_BerwynIllinois_LauraEMille...
Assessment of community utilization of chps services in komenda edina-eguafo...
Assessment of community utilization of chps services in komenda edina-eguafo...
The implementation of BPJS health program At public health center martapura i...
The implementation of BPJS health program At public health center martapura i...
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- 1. Community Based Monitoring of Health Services and related trends of change and improvements in the rural health services in the state of Maharashtra Dr. DhananjayKakde- SATHI , Pune (With Inputs from SATHI team members)
- 2. What is community based monitoring of health services? At the core of CBM is the act of tracking, recording and reporting the state of public health services in villages, as experienced by the people themselves. CBM processes related to NRHM are organised at the village, primary health centre (PHC), block, district and state levels. Regular information collection at the community level in the villages Processes for regular dialogue between community representatives and health care providers Helps to develop community ownership and accountability of Health services
- 3. Levels of committees forFeedback & Action State Planning & Monitoring Committee District Monitoring & Planning Committee Block Monitoring & Planning Committee PHC Monitoring & Planning Committee Village Health, Water supply, Nutrition and Sanitation Committee
- 4. Five Key processes in Community Based Monitoring of Health Services
- 5. Tools for community monitoring Monitoring booklet forms Village Health Calendar Interview format for MO PHC / CHC Actual medicine stock taking at PHC/CHC Format for Exit interview (PHC / CHC) Documentation of testimony of denial of health care
- 6. Filling up of the report card and display
- 7. Objective positive impact of CBM in improving health services
- 8. Practice of PHCs prescribing medicine from private shops has largely stopped Illegal charging and private practice by certain medical officers has now been checked Frequency of visits of ANM and MPWs in villages has led to improved village health services in many villages Definite improvement in immunisation coverage in many villages Certain sub-centres and mobile units which were not working have now started functioning CBM has contributed to significant improvements in rural health services
- 9. Change after six months of monitoring in villages of Velha block, Pune October 2008 April 2009
- 10. ‘Good’ ratings for village level Health services across 220 villages in Maharashtra over 3 phases
- 11. ‘Bad’ and ‘Partly satisfactory’ ratings for village level Health services across 220 villages
- 13. Increase in people’s OPD utilisation in PHCs covered by CBM
- 14. Increase in people’s inpatient utilisation in PHCs covered by CBM
- 15. From community based monitoring to planning of health services Key future strategy for planning of health services would be to use information about local issues/ priorities and resources identified during the community monitoring process.
- 16. CBM has given us hope that in context of public health system, the positive alternative to dominant trend of privatisation is communitisation of health services Thank you.