Abstract of Dissertation

Agency : Gap Analysis, NRHM, Village Health, Nutrition, AWC, ANM

Objective : The objective of the study is to identify the gaps at the Village Health and Nutrition Day held at village level.

Background : Village Health and Nutrition Days (VHNDs) are a major initiative under the National Rural Health Mission (NRHM) to improve access to maternal, newborn, child health and nutrition (MNCHN) services at the village level. Across the country, VHNDs are intended to occur in every village once a month usually at the Anganwadi Centre (AWC) or other suitable location.

Methodology : The study was conducted at Majhgawan block of Satna district (Madhya Pradesh) with a sample size of 40 respondents through a cross sectional survey. The respondents for the study were the frontline workers (ANM, ASHA and AWW) present at the VHND session site. Data was collected using a VHND assessment sheet and was analyzed with the help of MS Excel.

Findings : The findings revealed that there was a huge gap when the guidelines were compared with the findings of field visit. The major gaps were seen at facilities available at VHND sites like electricity, drinking water etc, presence of frontline workers (ANM, AWW, ASHA), counseling services, availability of HCM and THR, availability of Equipments, utilization of equipments, availability of Drugs, availability of Vaccines, availability of Records and registers and skills of ANM to deliver services. Conclusion: Overall there is a huge gap in the service delivery at VHNDs as 72 percent of the VHND sites fall under the poor performing category, 28 percent fall under satisfactory performing category and zero percent fall under the good performing category. There is a need to fill the gaps present at the VHND sites and for that step like capacity building of the frontline workers, monitoring the sites, supportive supervision by the monitoring staff, proper planning and management of VHNDs are to be done.