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Review of community monitoring process, Assam


  • Sanjeev Ranjan
  • Agency : Community Monitory, NGOs, Public Health Care
  • Objective : To find the existing gaps in community monitoring process in terms of awareness, service being delivered, training status and competency level of committee member; To analyze the health providerís perception, participation and satisfaction towards community monitoring: To identify key learning and challenges in pilot phase;
  • Background : The Community monitoring process is an excellent means of involving the public in their problem solving and developing goals. It involves a three way partnership between health care providers and managers (Health System); the community, community based organizations and NGOs and Panchayati Raj Institutions. The success of the community monitoring process depends upon the ownership of the process by all three parties and a developmental spirit of fact-findings and learning lesions for improvement.
  • Methodology : To know the success of community monitoring process, study was conducted in Dhemaji District of Assam. The study was qualitative and quantitative in nature. The design was cross sectional and exploratory. The data were collected through question schedule, Focus group discussion, Observation.  Secondary data were collected through different organization record. Field work was conducted between 23rd February and 23rd April 2009.
  • Findings : There was negligible awareness about the community monitoring process in community, which leads to  low  level  of  participation  by  community  member. ASHA was not clear about her role and responsibilities as an executive chairman of the committee. Proper coordination between state nodal agency and district nodal agency was missing. The district authority of health services were participating actively in the process, as they were not clear about the program.
  • Recommendations : Based on above all findings it is recommended that there should be proper and regular training session which should be based on practical approach   rather   theoretical.   Community   should   be sensitized through public forum and community based organization. Frequency of holding regular meeting of all committee should be ensured and different nodal agencies should be helped do improve there service delivery system.
To find the existing gaps in community monitoring process in terms of awareness, service being delivered, training status and competency level of committee member