this is survey based ppt in rohtas district, chenari and sanjhauli bloks

1. Assessment of VHSND
PRESENTED BY –
ABHISHEK KUMAR DUBEY
MBA(RM), G.B PANT SOCIAL SCIENCE
INSTITUTE, ALLAHABAD, SESSION 2014- 16
UNIVERSITY OF ALLAHABAD

2. Introduction
• VHSND -Village Health Sanitation and Nutrition Day
• Organized once every month
• At the AWC in the Village
• Interfacing between the community and the health
service
• The villagers can interact freely with the health personnel
and obtain basic services and information

3. Who Participate to VHSND?
ASHA
ANM
AWW
PRI
MEMBER
SERVICE
USER
ASHA
FACILITATOR
CARE
INDIA
VILLAGE
COMMUNITY

4. Services to be Provided in VHSND
• Immunisation
• Anti-natal care
• Post-natal care
• Prevent Infection Causes
• Counselling for Complementary feeding
• Counselling for family planning
• Supplementary Nutrition to Underweight children
• Health and Nutrition Education
• Sanitation and hygiene

5. Purpose of VHSND
• To reduce maternal death
• To reduce child death
• To reduce level of malnutrition
• To prevention of infection causes diseases

6. Action to be taken before of VHSND
• Visit households as per duellist and get to know all the
families;
• Make list of prenatal, postnatal, infants who need
immunization;
• Make a list of children who need care of malnutrition,
and adolescents girls;
• Coordinate with the AWCs, ASHAs, AWWs, ANMs and
the PRI members.

7. Important Determinants for Good Health-
• Adequate food (nutrition).
• Safe drinking water, sanitation
• Healthy living conditions and health lifestyle
• Access to batter health services
• Health Education.

8. ILL Health Is Related To
• Malnutrition;
• Unsafe water and lack of sanitation;
• Unhealthy habits alcohol/drug abuse;
• Unhealthy living conditions;
• Hard labour and difficult work conditions;
• Lack of access to health services;
• Lack of health education;

9. Pregnant women immunization
• In first 12 weekFirst test of prenatal
• In Between 14 to 26 weekSecond test of
prenatal
• In between 28 to 34 weekThird test of prenatal
• After 36 week to EDDFourth test of prenatal
T.T-I, T.T-II, T.T Buster(if second pregnancy within three year & the
beneficiary had taken two TT in previous pregnancy).

10. Child Immunization
Just baby
birth
BCG( after birth or before one year), Polio -0( in between
o-15 days after birth), Hepatitis B ( under 24 hours after
birth)
On 11/2
Month
Pentavalent -I, tOPV -I
On 21/2
Month
Pentavalent -II, tOPV -II
On 31/2
Month
Pentavalent -III, tOPV –III, IPV-I
On 9 Month Measles-I and vitamins A
(JE-I if implemented in District)
On 16 to 24
Month DPT buster , OPV buster, Measles-II Vitamins A
(JE-II if implemented in District)
D.P.T buster (on 5 to 6 year), T.T buster(on 10 to 16 year)

11. statement of study
• I abstract the work with Care India and my topic is---
• “ANALYZING THE GAP ASSESSMENT OF VHSND OF
PILOT INTERENTION PROJECT”
• The study on effectiveness of VHSND at two blocks
Sanjhouli and Chenari of Rohtas distric.

12. Objective of the study
1. To identify the update of Comprehensive due list and
survey register;
2. To identify the counselling on family Planning at session
site;
3. To identify the demonstration of Complementary feeding
by AWW at session site;
4. To identify the four key massage related to
immunization;
5. To identify the demonstration of Diarrhoea doll for
counselling on management of childhood diarrhoea;

13. Methodology
• Random Sampling method
• Data Collecting
• Qualitative data
• Quantitative data
• Interview method
• Open ended questionnaire (questionnairs.docx)
• Close ended questionnaire (vhsnd qes.docx)

14. Observation, finding of AWCs,
VHSNDs site and Household visit
• Total selected AWCs, VHSNDs site and House hold visit
Name of
Blocks
Total
Observed
AWC
Total Covered
VHSND
Session site
Total
House hold
visit
Total Convey
with people
Chenari 15 6 15 40
Sanjhouli 20 6 20 45
Others 8 2 20 60

15. 1. Assessment of Update of Comprehensive Due list and
Survey register
Name of due
list, and survey
register holder
Update Before
start pilot
project
Update After start pilot project
ASHAs Total Update Total update
40 15 40 35
AWWs(Record
data)
35 10 35 20
ANMs(MCH) 15 10 15 13
Above Take All Source Data From
BM of Care India

16. Assessment of update of comprehensive
due list and survey register
ASHAs
ANMs
AWWs
0
1
2
3
4
5
Duelist
update
Before
pilot
Survey
Reg.
Update
Before
pilot
Duelist
update
After pilot
survey
Reg.
Update
After pilot
ASHAs
ANMs
AWWs
Source – Pre collected data through BM, and
site observation by me.

17. 2. Assessment of the counselling on family Planning at
session site;
Name of
Demonstration
to Family pl.....
Demonstration
Before pilot
project,..,,,,,,,,,
Demonstration After pilot
project ..,,,,,,,
AWWs Total Demon. Total Demon.
35 2035 10
ASHAs 40 15 40 30
ANMs 15 10 15 14
Sales
Before pilot
After pilot

18. 3. Assessment of the demonstration of Complementary
feeding by AWW at session site;
Name of
Demonstration
Demonstration
Before pilot
project,..,,,,,,,,,
Demonstration
After pilot
project ..,,,,,,,
AWWs Total Demon. Total Demon.
40 15 40 30
ASHAs 50 10 50 30
ANMs 15 8 15 12
Now
Before

19. 4. Assessment of the four key massage
related to immunization
Suggests four
key massage
Demonstration
Before pilot
project,..,,,,,,,,,
Demonstration
After pilot project
..,,,,,,,
Total Delivered Total Delivered
ANMs 15 8 15 12
ASHAs 40 20 40 30
0%
20%
40%
60%
80%
100%
Category 1Category 2
Column1
Not update
Now update

20. 5. Assessment of the demonstration of Diarrhoea
doll for counselling on management of childhood
diarrhoea
Name of
Demonstration
of Diarrhoea doll
Demonstration
Before pilot
project,..,,,,,,,,,
Demonstration After
pilot project ..,,,,,,,
AWWs
Total Demon. Total Demon.
35 10 35 25
ASHAs 40 15 40 30
ANMs 15 5 15 12

21. Others finding
• ASHAs they were not proper mobilized all beneficiaries
to come for VHSND session site;
• AWW they also less effort VHSND session site;
• No body delivered message of Sanitation and Hygiene
• No proper guide Hand Wash system;
• No one proper guide safe drinking water;
• Very some members demonstrate the Diarrhoea ;
• Very some members delivered message for Adolescent
girls to Health related issue;

22. “In Big effort they can
not stop open
defecation system”

23. Outcome
• 85 per cent coverage with preventive and promotive
interventions, especially for pregnant women and
children ;
• Increased awareness about the determinants of health
such as nutrition, sanitation, timely care etc.
• Improved knowledge about the services offered under
the various Nutritional Health programmes.
• Greater emphasis on the community’s role in making the
health system improvement in rural area.
•

24. Suggestion and Recommendation
• Provide proper training for ASHAs, ANMs, and AWWs;
• Mobilize the village community through create the Self
Help Group(SHG) or other activity;
• Provide also training for External Field Facilitators;
• Organizing group discussions on maternal deaths(MDR)
Child Death(CDR), in order to identify and analyse the
possible causes.
• Strong Provision of supplementary food for grades of
mild malnutrition and referral for cases of severe
malnutrition and refer to NRC.
• Proper decentralize work top to bottom of the employee;
• Use Motivation X and Y theory for employee;

25. Continue-------
• sterilization and insurance scheme for family planning;
• Mobilization of community action for safe disposal of
household refuse and garbage.
• Communication on the Prevention of Violence against
Women, Domestic Violence Act, 2006.
• Home remedies for common ailments based on certain
common herbs and medicinal plants like tulsi found in
the locality.
• Healthy food habits.
• Hygienic and correct cooking practices.
• Checking for anaemia, especially in adolescent girls and
pregnant women; checking, advising, and referring.

26. Height and BP Measurement in VHSND Sites

28. Reference, and bibliography
• Government Report;
• Care India Report;
• Care India BM, past data collection and Suggestion
• AWCs survey;
• Communication with ASHAs, ANMs, AWWs and village
community;
• National Health Mission Website ...